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NPI Code Detail

MEDICARE: LORITA L BEILER MSW, CSW, ACSW

MEDICARE:   LORITA L BEILER  MSW, CSW, ACSW
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
1104100000XSocial Worker7232504-3502UT

General Provider Information

NPI Number : 1073838066
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORITA L BEILER MSW, CSW, ACSW
Provider Business Mailing Address
First Line : 566 WILD WILLOW DR
Second Line :
City : FRANCIS
State : UT
Zip : 84036-9215
Country : US
Telephone Number : 435-783-6416
Fax Number :
Provider Business Practice Location Address
First Line : 24 S 600 E
Second Line : SUITE 24
City : SALT LAKE CITY
State : UT
Zip : 84102-1017
Country : US
Telephone Number : 801-599-6396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 12/03/2021

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Directions to “ LORITA L BEILER MSW, CSW, ACSW” Practice Location

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