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NPI Code Detail

MEDICARE: CHRISTINE LEGUIZAMO

MEDICARE:   CHRISTINE  LEGUIZAMO
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 Worker12596LA

General Provider Information

NPI Number : 1538526249
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LEGUIZAMO
Provider Business Mailing Address
First Line : 2424 A P TUREAUD AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-1414
Country : US
Telephone Number : 214-549-9942
Fax Number :
Provider Business Practice Location Address
First Line : 4120 EVE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-1934
Country : US
Telephone Number : 504-304-3737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 01/26/2016

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Directions to “ CHRISTINE LEGUIZAMO ” Practice Location

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