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NPI Code Detail

MEDICARE: MICHELLE GALSTER

MEDICARE:   MICHELLE  GALSTER
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 Worker4383ND
21041C0700XClinical Social WorkerLCSW17449AZ

General Provider Information

NPI Number : 1033428693
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE GALSTER
Provider Business Mailing Address
First Line : 3830 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6920
Country : US
Telephone Number : 602-243-7277
Fax Number : 602-286-0808
Provider Business Practice Location Address
First Line : 3830 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6920
Country : US
Telephone Number : 602-243-7277
Fax Number : 602-286-0808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 11/20/2018

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Directions to “ MICHELLE GALSTER ” Practice Location

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