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NPI Code Detail

MEDICARE: MS. ELIZABETH SUSAN MORTON MSW

MEDICARE: MS. ELIZABETH SUSAN MORTON MSW
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 Worker002973CT

General Provider Information

NPI Number : 1154423796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH SUSAN MORTON MSW
Provider Business Mailing Address
First Line : 119 LAFAYETTE ST
Second Line :
City : NORWICH
State : CT
Zip : 06360-2708
Country : US
Telephone Number : 860-889-0097
Fax Number : 860-889-3184
Provider Business Practice Location Address
First Line : 119 LAFAYETTE ST
Second Line :
City : NORWICH
State : CT
Zip : 06360-2708
Country : US
Telephone Number : 860-889-0097
Fax Number : 860-889-3184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 07/08/2007

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