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NPI Code Detail

MEDICARE: MS. NANCY AGUILERA MONTES LCSW

MEDICARE:  MS. NANCY AGUILERA MONTES  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 Worker26312CA

General Provider Information

NPI Number : 1528273372
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY AGUILERA MONTES LCSW
Provider Business Mailing Address
First Line : 570 E BELLEVUE RD
Second Line :
City : ATWATER
State : CA
Zip : 95301-2300
Country : US
Telephone Number : 559-706-8731
Fax Number :
Provider Business Practice Location Address
First Line : 570 E BELLEVUE RD
Second Line :
City : ATWATER
State : CA
Zip : 95301-2300
Country : US
Telephone Number : 559-706-8731
Fax Number : 209-812-1624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 08/25/2016

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Directions to “ MS. NANCY AGUILERA MONTES LCSW” Practice Location

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