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NPI Code Detail

MEDICARE: MR. GREGORY STEPHEN STONE ASW

MEDICARE: MR. GREGORY STEPHEN STONE ASW
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 WorkerASW 16303CA

General Provider Information

NPI Number : 1902977176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GREGORY STEPHEN STONE ASW
Provider Business Mailing Address
First Line : 745 46TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-3201
Country : US
Telephone Number : 415-386-3349
Fax Number :
Provider Business Practice Location Address
First Line : 2513 24TH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-3556
Country : US
Telephone Number : 415-642-5968
Fax Number : 415-695-1263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 07/08/2007

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