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NPI Code Detail

MEDICARE: VERA L DOWLING BSW

MEDICARE: VERA L DOWLING BSW
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1528385119
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERA L DOWLING BSW
Provider Business Mailing Address
First Line : PO BOX 1267
Second Line :
City : MUSKOGEE
State : OK
Zip : 74402-1267
Country : US
Telephone Number : 918-682-7210
Fax Number : 918-682-8513
Provider Business Practice Location Address
First Line : 2310 W BROADWAY ST
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-2761
Country : US
Telephone Number : 918-682-7210
Fax Number : 918-682-8513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2010
Last Update Date : 04/22/2010

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Directions to “ VERA L DOWLING BSW” Practice Location

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