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NPI Code Detail

MEDICARE: DONNADEE GALE MSW

MEDICARE:   DONNADEE  GALE  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 Worker723MT
21041C0700XClinical Social Worker4286-CNV

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 : 1750468377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNADEE GALE MSW
Provider Business Mailing Address
First Line : 8480 S EASTERN AVE STE D
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2822
Country : US
Telephone Number : 702-650-0590
Fax Number : 702-650-0591
Provider Business Practice Location Address
First Line : 8480 S EASTERN AVE STE D
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2822
Country : US
Telephone Number : 702-650-0590
Fax Number : 702-650-0591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/19/2010

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