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NPI Code Detail

MEDICARE: MRS. JONI KAYE MAHER LCSW

MEDICARE: MRS. JONI KAYE MAHER 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
11041C0700XClinical Social WorkerLCS 60833CA

General Provider Information

NPI Number : 1184048126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JONI KAYE MAHER LCSW
Provider Business Mailing Address
First Line : PO BOX 6860
Second Line :
City : EUREKA
State : CA
Zip : 95502-6860
Country : US
Telephone Number : 707-443-3384
Fax Number : 707-443-3204
Provider Business Practice Location Address
First Line : 2910 HARRIS ST
Second Line :
City : EUREKA
State : CA
Zip : 95503-4811
Country : US
Telephone Number : 707-443-3384
Fax Number : 707-443-3204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2014
Last Update Date : 02/16/2014

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