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NPI Code Detail

MEDICARE: KATHY JO ZEIGLER LMSW

MEDICARE: KATHY JO ZEIGLER LMSW
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
1171M00000XCase Manager/Care Coordinator28641TX

General Provider Information

NPI Number : 1023144722
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY JO ZEIGLER LMSW
Provider Business Mailing Address
First Line : 3131 SANGUINET ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5336
Country : US
Telephone Number : 817-307-8723
Fax Number : 817-735-4640
Provider Business Practice Location Address
First Line : 3131 SANGUINET ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5336
Country : US
Telephone Number : 817-307-8723
Fax Number : 817-735-4640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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