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NPI Code Detail

MEDICARE: MRS. BETTY LOUISE ALARCON MASTER SOCIAL WORKER

MEDICARE: MRS. BETTY LOUISE ALARCON MASTER SOCIAL WORKER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1346463890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETTY LOUISE ALARCON MASTER SOCIAL WORKER
Provider Business Mailing Address
First Line : 7015 AMBER RIDGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-2454
Country : US
Telephone Number : 719-964-6356
Fax Number : 719-634-0482
Provider Business Practice Location Address
First Line : 10 FARRAGUT AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5626
Country : US
Telephone Number : 719-363-2000
Fax Number : 719-634-0482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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