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NPI Code Detail

MEDICARE: DR. LINDA K BREWER ED.D, LCSW

MEDICARE: DR. LINDA K BREWER ED.D, 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 WorkerLCSW 6850CA

General Provider Information

NPI Number : 1235256678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA K BREWER ED.D, LCSW
Provider Business Mailing Address
First Line : 626 BALBOA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3725
Country : US
Telephone Number : 415-668-0793
Fax Number :
Provider Business Practice Location Address
First Line : 626 BALBOA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3725
Country : US
Telephone Number : 415-668-0793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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