MEDICARE: MRS. AFEION MORRIS MSW, 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
1	1041C0700X	Clinical Social Worker	1767	CO

General Provider Information

NPI Number	:	1184905804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AFEION MORRIS MSW, LCSW

Provider Business Mailing Address
First Line	:	6880 BECKNELL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-8772
Country	:	US
Telephone Number	:	719-459-4537
Fax Number	:	719-593-1228

Provider Business Practice Location Address
First Line	:	6880 BECKNELL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-8772
Country	:	US
Telephone Number	:	719-459-4537
Fax Number	:	719-593-1228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2011
Last Update Date	:	09/08/2011

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