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NPI Code Detail

MEDICARE: MS. DIANE J MCQUILLEN MSW

MEDICARE: MS. DIANE J MCQUILLEN MSW
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
1104100000XSocial WorkerSW003015EPA

General Provider Information

NPI Number : 1982699377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANE J MCQUILLEN MSW
Provider Business Mailing Address
First Line : 219 3RD ST
Second Line :
City : BEAVER
State : PA
Zip : 15009-2301
Country : US
Telephone Number : 724-775-9150
Fax Number : 724-775-9153
Provider Business Practice Location Address
First Line : 219 3RD ST
Second Line :
City : BEAVER
State : PA
Zip : 15009-2301
Country : US
Telephone Number : 724-775-9150
Fax Number : 724-775-9153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 05/19/2022

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