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NPI Code Detail

MEDICARE: ANGELA D BARTHOLOMEW LCSW

MEDICARE: ANGELA D BARTHOLOMEW 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 Worker4152TN

General Provider Information

NPI Number : 1437305406
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA D BARTHOLOMEW LCSW
Provider Business Mailing Address
First Line : 408 VIRGINIA ST
Second Line :
City : PARIS
State : TN
Zip : 38242-5341
Country : US
Telephone Number : 731-642-0521
Fax Number : 731-642-0521
Provider Business Practice Location Address
First Line : 408 VIRGINIA ST
Second Line :
City : PARIS
State : TN
Zip : 38242-5341
Country : US
Telephone Number : 731-642-0521
Fax Number : 731-642-0521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2008
Last Update Date : 03/01/2016

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Directions to “ ANGELA D BARTHOLOMEW LCSW” Practice Location

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