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NPI Code Detail

MEDICARE: SUE DURONCELET

MEDICARE:   SUE  DURONCELET
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 WorkerLCS18899CA

General Provider Information

NPI Number : 1942429378
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUE DURONCELET
Provider Business Mailing Address
First Line : 1731 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-3001
Country : US
Telephone Number : 916-690-4856
Fax Number :
Provider Business Practice Location Address
First Line : 1731 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-3001
Country : US
Telephone Number : 916-690-4856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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Directions to “ SUE DURONCELET ” Practice Location

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