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NPI Code Detail

MEDICARE: MRS. CLARA INES MUNOZ MSW

MEDICARE: MRS. CLARA INES MUNOZ MSW
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N/AOTHERN/A

General Provider Information

NPI Number : 1023371507
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLARA INES MUNOZ MSW
Provider Business Mailing Address
First Line : 401 BELMONT LN
Second Line :
City : N LAUDERDALE
State : FL
Zip : 33068-4267
Country : US
Telephone Number : 954-643-8181
Fax Number :
Provider Business Practice Location Address
First Line : 817 N DIXIE HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-5621
Country : US
Telephone Number : 954-785-8285
Fax Number : 954-928-0040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2012
Last Update Date : 06/20/2012

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