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NPI Code Detail

MEDICARE: DR. TYLER ARGUELLO PHD, LCSW, ACSW

MEDICARE:  DR. TYLER  ARGUELLO  PHD, LCSW, 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 Worker27464CA

General Provider Information

NPI Number : 1316281058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYLER ARGUELLO PHD, LCSW, ACSW
Provider Business Mailing Address
First Line : 2830 I ST
Second Line : STE 303
City : SACRAMENTO
State : CA
Zip : 95816-4311
Country : US
Telephone Number : 206-353-8607
Fax Number :
Provider Business Practice Location Address
First Line : 2210 BLUES ALY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-3171
Country : US
Telephone Number : 206-353-8607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 11/19/2012

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Directions to “ DR. TYLER ARGUELLO PHD, LCSW, ACSW” Practice Location

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