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NPI Code Detail

MEDICARE: KAREN SUSANA ANDRADE MSW

MEDICARE: KAREN SUSANA ANDRADE MSW
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 Worker
21041S0200XSchool Social Worker

General Provider Information

NPI Number : 1417372962
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUSANA ANDRADE MSW
Provider Business Mailing Address
First Line : PO BOX 227472
Second Line :
City : MIAMI
State : FL
Zip : 33222-7472
Country : US
Telephone Number : 305-842-6073
Fax Number :
Provider Business Practice Location Address
First Line : 11300 NE 2ND AVE
Second Line :
City : MIAMI SHORES
State : FL
Zip : 33161-6628
Country : US
Telephone Number : 305-899-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2014
Last Update Date : 02/20/2014

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