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NPI Code Detail

MEDICARE: MARYLEIN F DAVIES LCSW

MEDICARE: MARYLEIN F DAVIES 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 Worker3757TX

General Provider Information

NPI Number : 1336152305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYLEIN F DAVIES LCSW
Provider Business Mailing Address
First Line : 2579 WESTERN TRAILS BLVD STE 200
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1578
Country : US
Telephone Number : 512-441-4445
Fax Number : 512-899-3576
Provider Business Practice Location Address
First Line : 2579 WESTERN TRAILS BLVD STE 200
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1578
Country : US
Telephone Number : 512-441-4445
Fax Number : 512-899-3576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 07/08/2007

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Directions to “ MARYLEIN F DAVIES LCSW” Practice Location

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