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NPI Code Detail

MEDICARE: ALICE MORAL DENIS LCSW

MEDICARE:   ALICE  MORAL DENIS  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
11041C0700XClinical Social WorkerSW6084FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912916842
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE MORAL DENIS LCSW
Provider Business Mailing Address
First Line : 11031 NE 6TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33161-7182
Country : US
Telephone Number : 305-398-6100
Fax Number : 305-757-4465
Provider Business Practice Location Address
First Line : 140 NW 59TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33127-1218
Country : US
Telephone Number : 305-759-8888
Fax Number : 305-757-5989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 05/13/2010

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Directions to “ ALICE MORAL DENIS LCSW” Practice Location

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