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NPI Code Detail

MEDICARE: MRS. KAREN ANN MARKS LCSW

MEDICARE: MRS. KAREN ANN MARKS 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 WorkerLCS22049CA

General Provider Information

NPI Number : 1609966373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN ANN MARKS LCSW
Provider Business Mailing Address
First Line : 401 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3303
Country : US
Telephone Number : 714-686-7071
Fax Number :
Provider Business Practice Location Address
First Line : 401 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3303
Country : US
Telephone Number : 714-935-8115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 03/14/2013

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Directions to “ MRS. KAREN ANN MARKS LCSW” Practice Location

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