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NPI Code Detail

MEDICARE: JOAN ANN JUNGINGER LCSW

MEDICARE:   JOAN ANN JUNGINGER  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 WorkerC003897NC

General Provider Information

NPI Number : 1427034719
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN ANN JUNGINGER LCSW
Provider Business Mailing Address
First Line : 2402 FLINTS POND CIR
Second Line :
City : APEX
State : NC
Zip : 27523-4801
Country : US
Telephone Number : 919-924-3124
Fax Number :
Provider Business Practice Location Address
First Line : 2402 FLINTS POND CIR
Second Line :
City : APEX
State : NC
Zip : 27523-4801
Country : US
Telephone Number : 919-924-3124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 07/08/2007

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Directions to “ JOAN ANN JUNGINGER LCSW” Practice Location

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