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NPI Code Detail

MEDICARE: BREE ZAFFKE

MEDICARE: BREE ZAFFKE
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 Worker22714MN

General Provider Information

NPI Number : 1073371829
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREE ZAFFKE
Provider Business Mailing Address
First Line : 38508 8TH AVE
Second Line :
City : NORTH BRANCH
State : MN
Zip : 55056-3304
Country : US
Telephone Number : 651-442-3446
Fax Number :
Provider Business Practice Location Address
First Line : 38508 8TH AVE
Second Line :
City : NORTH BRANCH
State : MN
Zip : 55056-3304
Country : US
Telephone Number : 651-442-3446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2024
Last Update Date : 03/07/2024

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Directions to “ BREE ZAFFKE ” Practice Location

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