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NPI Code Detail

MEDICARE: MS. DANA LEE SLAY L.C.S.W.

MEDICARE: MS. DANA LEE SLAY L.C.S.W.
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 : 1275882821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANA LEE SLAY L.C.S.W.
Provider Business Mailing Address
First Line : 601 S WESTMORELAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3902
Country : US
Telephone Number : 213-738-7283
Fax Number :
Provider Business Practice Location Address
First Line : 601 S WESTMORELAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3902
Country : US
Telephone Number : 213-738-7283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2012
Last Update Date : 10/07/2016

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