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NPI Code Detail

MEDICARE: JINA KAY THALMANN LCSW

MEDICARE: JINA KAY THALMANN 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 WorkerSW5403FL

General Provider Information

NPI Number : 1194866327
Entity Type Code : Individual
Provider Name (Legal Business Name) : JINA KAY THALMANN LCSW
Provider Business Mailing Address
First Line : 100 COLUMBIA ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1006
Country : US
Telephone Number : 407-245-0014
Fax Number : 407-245-0015
Provider Business Practice Location Address
First Line : 100 COLUMBIA ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-1006
Country : US
Telephone Number : 407-245-0014
Fax Number : 407-245-0015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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Directions to “ JINA KAY THALMANN LCSW” Practice Location

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