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NPI Code Detail

MEDICARE: MISS LAURA MEREDITH NAGLE LCSW

MEDICARE: MISS LAURA MEREDITH NAGLE 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 WorkerNY
21041C0700XClinical Social Worker22297CA

General Provider Information

NPI Number : 1376673731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LAURA MEREDITH NAGLE LCSW
Provider Business Mailing Address
First Line : 4333 E VINEYARD AVE
Second Line :
City : OXNARD
State : CA
Zip : 93036-1013
Country : US
Telephone Number : 805-981-5572
Fax Number :
Provider Business Practice Location Address
First Line : 4333 E VINEYARD AVE
Second Line :
City : OXNARD
State : CA
Zip : 93036-1013
Country : US
Telephone Number : 805-981-5572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 06/07/2021

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1740311356 — MR. KEVIN A. MCCORMACK LMFT, PH.D.
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1578695813 — DEBBIE MCKAY
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93036-1013
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1699892224 — MARIA SERNA LVN
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Directions to “ MISS LAURA MEREDITH NAGLE LCSW” Practice Location

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