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NPI Code Detail

MEDICARE: ERICK ARELLANO BSW

MEDICARE: ERICK ARELLANO 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
1104100000XSocial Worker

General Provider Information

NPI Number : 1710743703
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICK ARELLANO BSW
Provider Business Mailing Address
First Line : 12210 N 23RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-5815
Country : US
Telephone Number : 307-922-6750
Fax Number :
Provider Business Practice Location Address
First Line : 3222 N 37TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-6304
Country : US
Telephone Number : 602-808-2822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/27/2024

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