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NPI Code Detail

MEDICARE: MS. CATHLEEN CAULEY MSW

MEDICARE: MS. CATHLEEN CAULEY 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
1104100000XSocial WorkerFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528163946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHLEEN CAULEY MSW
Provider Business Mailing Address
First Line : 2354 UNIVERSITY BLVD N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-3228
Country : US
Telephone Number : 904-421-6053
Fax Number : 904-744-8131
Provider Business Practice Location Address
First Line : 2354 UNIVERSITY BLVD N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-3228
Country : US
Telephone Number : 904-421-6053
Fax Number : 904-744-8131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/14/2008

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