Provider Demographics
NPI:1497872584
Name:DUONG, SANDRA SINZ (LCSW)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:SINZ
Last Name:DUONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:LYNN
Other - Last Name:SINZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1774 COLORADO LN
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-6661
Mailing Address - Country:US
Mailing Address - Phone:530-753-9683
Mailing Address - Fax:530-231-0122
Practice Address - Street 1:1774 COLORADO LN
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-6661
Practice Address - Country:US
Practice Address - Phone:530-753-9683
Practice Address - Fax:530-231-0122
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 179341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical