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NPI Code Detail

MEDICARE: EMILY G. MOYLE MSW/LSW

MEDICARE: EMILY G. MOYLE MSW/LSW
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 WorkerIC-543NV
2104100000XSocial Worker2782-SNV

General Provider Information

NPI Number : 1972768950
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY G. MOYLE MSW/LSW
Provider Business Mailing Address
First Line : 4477 PROSPECT HILL CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-3294
Country : US
Telephone Number : 702-561-3999
Fax Number :
Provider Business Practice Location Address
First Line : 4477 PROSPECT HILL CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-3294
Country : US
Telephone Number : 702-561-3999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 07/18/2008

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