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NPI Code Detail

MEDICARE: DR. GEORGE READE ALPAUGH DSW, LCSW

MEDICARE: DR. GEORGE READE ALPAUGH DSW, 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
1104100000XSocial Worker11493LA
21041C0700XClinical Social Worker11493LA

General Provider Information

NPI Number : 1144723701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE READE ALPAUGH DSW, LCSW
Provider Business Mailing Address
First Line : 819 FOCIS ST
Second Line :
City : METAIRIE
State : LA
Zip : 70005-2213
Country : US
Telephone Number : 504-259-0584
Fax Number :
Provider Business Practice Location Address
First Line : 14500 HAYNE BLVD STE 200
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70128-1751
Country : US
Telephone Number : 504-210-0460
Fax Number : 504-210-0972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2018
Last Update Date : 08/12/2019

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