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NPI Code Detail

MEDICARE: MRS. CAROLINE SASSER LCSW PIP

MEDICARE: MRS. CAROLINE SASSER LCSW PIP
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 Worker2007CAL

General Provider Information

NPI Number : 1396073516
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINE SASSER LCSW PIP
Provider Business Mailing Address
First Line : 2305 ARLINGTON AVE S
Second Line : ADULT AND CHILD DEVELOPMENT PROFESSIONALS
City : BIRMINGHAM
State : AL
Zip : 35205-4111
Country : US
Telephone Number : 205-933-0539
Fax Number : 205-933-9280
Provider Business Practice Location Address
First Line : 2305 ARLINGTON AVE S
Second Line : ADULT AND CHILD DEVELOPMENT PROFESSIONALS
City : BIRMINGHAM
State : AL
Zip : 35205-4111
Country : US
Telephone Number : 205-933-0539
Fax Number : 205-933-9280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2009
Last Update Date : 11/29/2009

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