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NPI Code Detail

MEDICARE: MRS. ARIEL ROSE HOWARD LBSW

MEDICARE:  MRS. ARIEL ROSE HOWARD  LBSW
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
1104100000XSocial WorkerB1188NM

General Provider Information

NPI Number : 1316938996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ARIEL ROSE HOWARD LBSW
Provider Business Mailing Address
First Line : PO BOX 160
Second Line :
City : SHIPROCK
State : NM
Zip : 87420-0160
Country : US
Telephone Number : 505-368-6401
Fax Number : 505-368-6431
Provider Business Practice Location Address
First Line : 6 ROAD 7586
Second Line :
City : BLOOMFIELD
State : NM
Zip : 87413-4934
Country : US
Telephone Number : 505-368-6401
Fax Number : 505-368-6431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 01/31/2008

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Directions to “ MRS. ARIEL ROSE HOWARD LBSW” Practice Location

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