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NPI Code Detail

MEDICARE: MRS. ALLISON MARY WARNE LCSW

MEDICARE: MRS. ALLISON MARY WARNE 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 WorkerCSW006808GA

General Provider Information

NPI Number : 1306390398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON MARY WARNE LCSW
Provider Business Mailing Address
First Line : 240 MITCHELL BRIDGE RD
Second Line :
City : ATHENS
State : GA
Zip : 30606-2043
Country : US
Telephone Number : 706-510-4982
Fax Number :
Provider Business Practice Location Address
First Line : 240 MITCHELL BRIDGE RD
Second Line :
City : ATHENS
State : GA
Zip : 30606-2043
Country : US
Telephone Number : 706-510-4982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2016
Last Update Date : 07/09/2020

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