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NPI Code Detail

MEDICARE: MRS. CHRISTINE ABUJUDEH MSW

MEDICARE:  MRS. CHRISTINE  ABUJUDEH  MSW
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 Worker9344-CNV

General Provider Information

NPI Number : 1366522898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE ABUJUDEH MSW
Provider Business Mailing Address
First Line : 4440 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7825
Country : US
Telephone Number : 702-444-0599
Fax Number : 702-487-4877
Provider Business Practice Location Address
First Line : 4440 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7825
Country : US
Telephone Number : 702-444-0599
Fax Number : 702-487-4877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 01/04/2022

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