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NPI Code Detail

MEDICARE: BETH ANN DEHLER LMSW

MEDICARE:   BETH ANN DEHLER  LMSW
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 WorkerM-3680NM

General Provider Information

NPI Number : 1124104930
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ANN DEHLER LMSW
Provider Business Mailing Address
First Line : PO BOX 489
Second Line :
City : CORRALES
State : NM
Zip : 87048-0489
Country : US
Telephone Number : 505-980-7081
Fax Number :
Provider Business Practice Location Address
First Line : 2611 EUBANK BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-1312
Country : US
Telephone Number : 505-298-6752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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Directions to “ BETH ANN DEHLER LMSW” Practice Location

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