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NPI Code Detail

MEDICARE: MRS. SYLVIA ARREDONDO MIDDLETON L.C.S.W.

MEDICARE: MRS. SYLVIA ARREDONDO MIDDLETON L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker3696LA

General Provider Information

NPI Number : 1013123868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYLVIA ARREDONDO MIDDLETON L.C.S.W.
Provider Business Mailing Address
First Line : 1744 WHITE ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-6351
Country : US
Telephone Number : 318-443-4072
Fax Number :
Provider Business Practice Location Address
First Line : 3717 GOVERNMENT ST
Second Line : SUITE 3
City : ALEXANDRIA
State : LA
Zip : 71302-3358
Country : US
Telephone Number : 318-443-4072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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