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NPI Code Detail

MEDICARE: MS. CHRISTINE JANET CHU L. C. S. W.

MEDICARE: MS. CHRISTINE JANET CHU 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 WorkerLCS 8966CA

General Provider Information

NPI Number : 1154407567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINE JANET CHU L. C. S. W.
Provider Business Mailing Address
First Line : 3608 SACRAMENTO
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1729
Country : US
Telephone Number : 415-282-7542
Fax Number :
Provider Business Practice Location Address
First Line : 3608 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1736
Country : US
Telephone Number : 415-282-7542
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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