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NPI Code Detail

MEDICARE: MISS JOANNA LOUISE SONENTHAL B.S.

MEDICARE: MISS JOANNA LOUISE SONENTHAL B.S.
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 Worker

General Provider Information

NPI Number : 1225151384
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JOANNA LOUISE SONENTHAL B.S.
Provider Business Mailing Address
First Line : 901 S ERVAY ST
Second Line :
City : DALLAS
State : TX
Zip : 75201-6419
Country : US
Telephone Number : 214-991-2333
Fax Number :
Provider Business Practice Location Address
First Line : 901 S ERVAY ST
Second Line :
City : DALLAS
State : TX
Zip : 75201-6419
Country : US
Telephone Number : 214-991-2333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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