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NPI Code Detail

MEDICARE: TANIA LAGUERRE

MEDICARE:   TANIA  LAGUERRE
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NONOTHERNON

General Provider Information

NPI Number : 1508357757
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIA LAGUERRE
Provider Business Mailing Address
First Line : 7707 SW 7TH CT
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-2216
Country : US
Telephone Number : 954-657-3338
Fax Number :
Provider Business Practice Location Address
First Line : 7707 SW 7TH CT
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-2216
Country : US
Telephone Number : 954-657-3338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2018
Last Update Date : 05/23/2018

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Directions to “ TANIA LAGUERRE ” Practice Location

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