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NPI Code Detail

MEDICARE: CORNELIA N SAVOIE LMSW/LGSW

MEDICARE: CORNELIA N SAVOIE LMSW/LGSW
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 Worker24658MD

General Provider Information

NPI Number : 1194375212
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORNELIA N SAVOIE LMSW/LGSW
Provider Business Mailing Address
First Line : 5618 CYPRESS CREEK DR APT 202
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-3525
Country : US
Telephone Number : 231-218-8222
Fax Number :
Provider Business Practice Location Address
First Line : 1425 UNIVERSITY BLVD E STE 245
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-4646
Country : US
Telephone Number : 240-670-5181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2019
Last Update Date : 09/19/2019

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Directions to “ CORNELIA N SAVOIE LMSW/LGSW” Practice Location

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