MEDICARE: MRS. STEPHANIE TALBOT FRANCE LCSW

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
1	1041C0700X	Clinical Social Worker	73082771	NY
2	1041S0200X	School Social Worker	73082771	NY

General Provider Information

NPI Number	:	1851849046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE TALBOT FRANCE LCSW

Provider Business Mailing Address
First Line	:	395 ELK ST
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12206-2707
Country	:	US
Telephone Number	:	518-475-6600
Fax Number	:	518-475-6612

Provider Business Practice Location Address
First Line	:	395 ELK ST
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12206-2707
Country	:	US
Telephone Number	:	518-475-6600
Fax Number	:	518-475-6612

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	09/15/2016

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