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NPI Code Detail

MEDICARE: DELPHA LUCAS DUNNING L.C.S.W.

MEDICARE: DELPHA LUCAS DUNNING L.C.S.W.
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 WorkerLCSW-612WY

General Provider Information

NPI Number : 1679711089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELPHA LUCAS DUNNING L.C.S.W.
Provider Business Mailing Address
First Line : 3719 MCKINLEY AVE
Second Line :
City : EL PASO
State : TX
Zip : 79930-5630
Country : US
Telephone Number : 915-231-6436
Fax Number : 915-231-6436
Provider Business Practice Location Address
First Line : 3719 MCKINLEY AVE
Second Line :
City : EL PASO
State : TX
Zip : 79930-5630
Country : US
Telephone Number : 915-231-6436
Fax Number : 915-231-6436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2009
Last Update Date : 11/22/2013

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Directions to “ DELPHA LUCAS DUNNING L.C.S.W.” Practice Location

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