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NPI Code Detail

MEDICARE: MS. KIRA P FURTADO LICSW

MEDICARE: MS. KIRA P FURTADO LICSW
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 Worker111669MA

General Provider Information

NPI Number : 1952326084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIRA P FURTADO LICSW
Provider Business Mailing Address
First Line : 201 CHELMSFORD ST
Second Line : FAMV
City : CHELMSFORD
State : MA
Zip : 01824-2359
Country : US
Telephone Number : 978-256-1467
Fax Number : 978-256-7465
Provider Business Practice Location Address
First Line : 201 CHELMSFORD ST
Second Line : FAMV
City : CHELMSFORD
State : MA
Zip : 01824-2359
Country : US
Telephone Number : 978-256-1467
Fax Number : 978-256-7465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/27/2010

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