MEDICARE: JULIA ANNE FIORE LMSW

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	104100000X	Social Worker	MSW008565	GA

General Provider Information

NPI Number	:	1871078097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANNE FIORE LMSW

Provider Business Mailing Address
First Line	:	1017 FAYETTEVILLE RD SE STE B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-2932
Country	:	US
Telephone Number	:	404-486-9034
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 MARTIN LUTHER KING JR DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-3674
Country	:	US
Telephone Number	:	404-612-9339
Fax Number	:

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

Provider Enumeration Date	:	10/03/2018
Last Update Date	:	10/03/2018

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