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NPI Code Detail

MEDICARE: MS. ELIZABETH HABERER L.C.S.W.

MEDICARE: MS. ELIZABETH HABERER L.C.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 Worker34932TX

General Provider Information

NPI Number : 1174569875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH HABERER L.C.S.W.
Provider Business Mailing Address
First Line : 303 JACKSON HILL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77007-7407
Country : US
Telephone Number : 281-200-9216
Fax Number : 281-200-9170
Provider Business Practice Location Address
First Line : 303 JACKSON HILL ST
Second Line : ROOM 225
City : HOUSTON
State : TX
Zip : 77007-7407
Country : US
Telephone Number : 281-200-9216
Fax Number : 281-200-9170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 04/14/2008

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