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NPI Code Detail

MEDICARE: EMILY SLEDGE LCSW

MEDICARE: EMILY SLEDGE 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 Worker105100TX

General Provider Information

NPI Number : 1326617853
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SLEDGE LCSW
Provider Business Mailing Address
First Line : 2457 CAMPFIRE LN
Second Line :
City : FRISCO
State : TX
Zip : 75033-7619
Country : US
Telephone Number : 314-677-0925
Fax Number :
Provider Business Practice Location Address
First Line : 300 DECKER DR STE 360
Second Line :
City : IRVING
State : TX
Zip : 75062-8189
Country : US
Telephone Number : 469-954-8002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2021
Last Update Date : 12/07/2022

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Directions to “ EMILY SLEDGE LCSW” Practice Location

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