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NPI Code Detail

MEDICARE: MR. JAIME MULEIRO LCSW

MEDICARE: MR. JAIME MULEIRO LCSW
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 WorkerCT005679CT

General Provider Information

NPI Number : 1114162849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAIME MULEIRO LCSW
Provider Business Mailing Address
First Line : 436 ORANGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-6402
Country : US
Telephone Number : 203-508-5355
Fax Number :
Provider Business Practice Location Address
First Line : 436 ORANGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-6402
Country : US
Telephone Number : 203-508-5355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2008
Last Update Date : 12/09/2008

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