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NPI Code Detail

MEDICARE: NANCY S LOUIS

MEDICARE: NANCY S LOUIS
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 WorkerLG50083618
21041C0700XClinical Social Worker30091MD

General Provider Information

NPI Number : 1073206165
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY S LOUIS
Provider Business Mailing Address
First Line : 4000 MITCHELLVILLE RD STE A414
Second Line :
City : BOWIE
State : MD
Zip : 20716-3142
Country : US
Telephone Number : 732-581-8728
Fax Number :
Provider Business Practice Location Address
First Line : 4000 MITCHELLVILLE RD STE A414
Second Line :
City : BOWIE
State : MD
Zip : 20716-3142
Country : US
Telephone Number : 732-581-8728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2023
Last Update Date : 02/15/2024

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Directions to “ NANCY S LOUIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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