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NPI Code Detail

MEDICARE: MR. NORMAN ARTHUR LEMIEUX LCSW

MEDICARE: MR. NORMAN ARTHUR LEMIEUX 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 WorkerCSW000182GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110753149OTHERGACAQH

General Provider Information

NPI Number : 1346342987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NORMAN ARTHUR LEMIEUX LCSW
Provider Business Mailing Address
First Line : PO BOX 5099
Second Line :
City : SAINT MARYS
State : GA
Zip : 31558-5099
Country : US
Telephone Number : 912-882-3662
Fax Number : 912-882-7720
Provider Business Practice Location Address
First Line : 10545 COLERAIN RD
Second Line :
City : SAINT MARYS
State : GA
Zip : 31558-3720
Country : US
Telephone Number : 912-882-3662
Fax Number : 912-882-7720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 07/08/2007

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