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NPI Code Detail

MEDICARE: LETICIA MARCZYK MSW

MEDICARE:   LETICIA  MARCZYK  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
11041C0700XClinical Social WorkerASW 25129CA

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 : 1578850269
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA MARCZYK MSW
Provider Business Mailing Address
First Line : 2237 W BALL RD
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5314
Country : US
Telephone Number : 714-490-2750
Fax Number : 714-490-2757
Provider Business Practice Location Address
First Line : 2237 W BALL RD
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5314
Country : US
Telephone Number : 714-490-2750
Fax Number : 714-490-2757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2011
Last Update Date : 07/01/2011

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Directions to “ LETICIA MARCZYK MSW” Practice Location

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