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NPI Code Detail

MEDICARE: DR. CHERYL PEPPERS LCSW

MEDICARE:  DR. CHERYL  PEPPERS  LCSW
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 WorkerSW 12248FL

General Provider Information

NPI Number : 1063814689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL PEPPERS LCSW
Provider Business Mailing Address
First Line : PO BOX 5825
Second Line :
City : SARASOTA
State : FL
Zip : 34277-5825
Country : US
Telephone Number : 941-961-4818
Fax Number :
Provider Business Practice Location Address
First Line : 73 S PALM AVE STE 215
Second Line :
City : SARASOTA
State : FL
Zip : 34236-5612
Country : US
Telephone Number : 941-961-4818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2014
Last Update Date : 09/26/2014

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Directions to “ DR. CHERYL PEPPERS LCSW” Practice Location

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