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NPI Code Detail

MEDICARE: MS. EDITH DEBORAH DLIN MSW

MEDICARE:  MS. EDITH DEBORAH DLIN  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
1101YM0800XMental Health Counselor2896LA

General Provider Information

NPI Number : 1831122522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EDITH DEBORAH DLIN MSW
Provider Business Mailing Address
First Line : 5705 RIVER RD
Second Line : NA
City : SHREVEPORT
State : LA
Zip : 71105-4323
Country : US
Telephone Number : 318-869-2400
Fax Number :
Provider Business Practice Location Address
First Line : 5705 RIVER RD
Second Line : NA
City : SHREVEPORT
State : LA
Zip : 71105-4323
Country : US
Telephone Number : 318-869-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 09/10/2008

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Directions to “ MS. EDITH DEBORAH DLIN MSW” Practice Location

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