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NPI Code Detail

MEDICARE: KAREN ELIZABETH MENTZ

MEDICARE: KAREN ELIZABETH MENTZ
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 WorkerCW014926PA

General Provider Information

NPI Number : 1336120369
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ELIZABETH MENTZ
Provider Business Mailing Address
First Line : 1330 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1402
Country : US
Telephone Number : 814-459-9300
Fax Number : 814-451-2280
Provider Business Practice Location Address
First Line : 1330 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1402
Country : US
Telephone Number : 814-459-9300
Fax Number : 814-451-2280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 07/08/2007

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Directions to “ KAREN ELIZABETH MENTZ ” Practice Location

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