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NPI Code Detail

MEDICARE: ANGELA REBECCA MCELMURAY DUNDEE LISW

MEDICARE: ANGELA REBECCA MCELMURAY DUNDEE LISW
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 Worker086946IA

General Provider Information

NPI Number : 1245760479
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA REBECCA MCELMURAY DUNDEE LISW
Provider Business Mailing Address
First Line : 380 W ANCHOR DR
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5273
Country : US
Telephone Number : 605-359-6562
Fax Number : 605-232-2890
Provider Business Practice Location Address
First Line : 380 W ANCHOR DR
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5273
Country : US
Telephone Number : 605-359-6562
Fax Number : 605-232-2890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 01/12/2026

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Directions to “ ANGELA REBECCA MCELMURAY DUNDEE LISW” Practice Location

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