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NPI Code Detail

MEDICARE: MS. DEBBIE LYNN CAVIN

MEDICARE: MS. DEBBIE LYNN CAVIN
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 : 1821332164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBBIE LYNN CAVIN
Provider Business Mailing Address
First Line : 401 E BROADWAY CT STE E
Second Line :
City : SAND SPRINGS
State : OK
Zip : 74063-7931
Country : US
Telephone Number : 918-392-5828
Fax Number : 918-245-5564
Provider Business Practice Location Address
First Line : 401 E BROADWAY CT STE E
Second Line :
City : SAND SPRINGS
State : OK
Zip : 74063-7931
Country : US
Telephone Number : 918-392-5828
Fax Number : 918-245-5564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2012
Last Update Date : 11/26/2012

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Directions to “ MS. DEBBIE LYNN CAVIN ” Practice Location

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