MEDICARE: DEIONA LORINA FRENCHE

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	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1265889547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEIONA LORINA FRENCHE

Provider Business Mailing Address
First Line	:	5333 FOSSIL CREEK BLVD
Second Line	:	APT 735
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2839
Country	:	US
Telephone Number	:	202-714-2129
Fax Number	:

Provider Business Practice Location Address
First Line	:	5333 FOSSIL CREEK BLVD
Second Line	:	APT 735
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2839
Country	:	US
Telephone Number	:	202-714-2129
Fax Number	:

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

Provider Enumeration Date	:	05/17/2016
Last Update Date	:	05/17/2016

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