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NPI Code Detail

MEDICARE: MRS. ALICE G. NOEL L.C.S.W.,D.C.S.W.

MEDICARE: MRS. ALICE G. NOEL L.C.S.W.,D.C.S.W.
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 Worker1548GA

General Provider Information

NPI Number : 1952308983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICE G. NOEL L.C.S.W.,D.C.S.W.
Provider Business Mailing Address
First Line : 821 N COBB ST
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-2343
Country : US
Telephone Number : 478-457-2128
Fax Number : 478-457-2148
Provider Business Practice Location Address
First Line : 821 N COBB ST
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-2343
Country : US
Telephone Number : 478-457-2128
Fax Number : 478-457-2148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/08/2007

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