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NPI Code Detail

MEDICARE: SHARON KAY COMPONO L.C.S.W.

MEDICARE:   SHARON KAY COMPONO  L.C.S.W.
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 WorkerCSW-2127CO

General Provider Information

NPI Number : 1376804211
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON KAY COMPONO L.C.S.W.
Provider Business Mailing Address
First Line : 7665 ASSISI HTS
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3837
Country : US
Telephone Number : 719-955-7009
Fax Number : 719-598-0346
Provider Business Practice Location Address
First Line : 7665 ASSISI HTS
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3837
Country : US
Telephone Number : 719-955-7009
Fax Number : 719-598-0346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2012
Last Update Date : 06/07/2012

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Directions to “ SHARON KAY COMPONO L.C.S.W.” Practice Location

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