MEDICARE: MRS. CHRISTINE A SINGO LSW

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1114194594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE A SINGO LSW

Provider Business Mailing Address
First Line	:	1476 NORTH AVE PO BOX 1195
Second Line	:	THE CHILDRENS AID HOME PROGRAMS OF SOMERSET COUNTY INC
City	:	SOMERSET
State	:	PA
Zip	:	15501-1632
Country	:	US
Telephone Number	:	814-443-1637
Fax Number	:	814-445-8481

Provider Business Practice Location Address
First Line	:	1476 NORTH AVE
Second Line	:	THE CHILDRENS AID HOME PROGRAMS OF SOMERSET COUNTY INC
City	:	SOMERSET
State	:	PA
Zip	:	15501-1632
Country	:	US
Telephone Number	:	814-443-1637
Fax Number	:	814-445-8481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	05/14/2008

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