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NPI Code Detail

MEDICARE: MRS. CHRISTENE ELIZABETH SUAREZ MSW

MEDICARE:  MRS. CHRISTENE ELIZABETH SUAREZ  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
11041C0700XClinical Social Worker6980PR

General Provider Information

NPI Number : 1033147392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTENE ELIZABETH SUAREZ MSW
Provider Business Mailing Address
First Line : 2445 LAKE VISTA CT
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-6472
Country : US
Telephone Number : 321-397-6098
Fax Number :
Provider Business Practice Location Address
First Line : 2445 LAKE VISTA CT
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-6472
Country : US
Telephone Number : 321-397-6098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CHRISTENE ELIZABETH SUAREZ MSW” Practice Location

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