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NPI Code Detail

MEDICARE: MARTA MUNTEAN LCSW

MEDICARE: MARTA MUNTEAN 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 Worker1315AK

General Provider Information

NPI Number : 1316310550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTA MUNTEAN LCSW
Provider Business Mailing Address
First Line : 517 W NORTHERN LIGHTS BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2503
Country : US
Telephone Number : 907-891-6171
Fax Number :
Provider Business Practice Location Address
First Line : 517 W NORTHERN LIGHTS BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2503
Country : US
Telephone Number : 907-891-6171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2015
Last Update Date : 04/02/2018

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Directions to “ MARTA MUNTEAN LCSW” Practice Location

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