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NPI Code Detail

MEDICARE: JOSEPH MICHAEL DULA MSW, LMSW, ACSW

MEDICARE: JOSEPH MICHAEL DULA MSW, LMSW, ACSW
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 Worker6801061085MI

General Provider Information

NPI Number : 1295841088
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MICHAEL DULA MSW, LMSW, ACSW
Provider Business Mailing Address
First Line : 1217 S EUCLID AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48706-3311
Country : US
Telephone Number : 989-667-9661
Fax Number : 989-667-9680
Provider Business Practice Location Address
First Line : 1217 S EUCLID AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48706-3311
Country : US
Telephone Number : 989-667-9661
Fax Number : 989-667-9680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/08/2007

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