Most Relevant Information
Provider Data
| NPI Number: | 1003483900 |
| Provider Name: | CAROLYN GENEVIEVE NOACK LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 101605 |
Most Important Dates
| Enumeration Date: | 06/08/2021 |
| Last Updated: | 06/08/2021 |
Provider Practice Location
8950 VILLA LA JOLLA DR STE C126
LA JOLLA
CA
920371707
Practice Location Phone/Fax
| Phone: | 8582217479 |
| Fax: |
Provider Mailing Location
6922 ENDERS AVE
SAN DIEGO
CA
921222803
Provider Mailing Phone/Fax
| Phone: | 8586926852 |
| Fax: |