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NPI Code Detail

MEDICARE: MS. GEORGIANNE PARKER M.S.W

MEDICARE:  MS. GEORGIANNE  PARKER  M.S.W
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 Worker876230CO

General Provider Information

NPI Number : 1114911278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GEORGIANNE PARKER M.S.W
Provider Business Mailing Address
First Line : 1766 HIGH ST
Second Line : SUITE 2
City : DENVER
State : CO
Zip : 80218-1309
Country : US
Telephone Number : 303-321-6820
Fax Number :
Provider Business Practice Location Address
First Line : 1766 HIGH ST
Second Line : SUITE 2
City : DENVER
State : CO
Zip : 80218-1309
Country : US
Telephone Number : 303-321-6820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 10/10/2007

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