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NPI Code Detail

MEDICARE: DEBORAH MARIE VERONICA NEMLEY MSW, ACSW

MEDICARE: DEBORAH MARIE VERONICA NEMLEY MSW, 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
1104100000XSocial Worker
21041C0700XClinical Social Worker66947CA

General Provider Information

NPI Number : 1386944783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH MARIE VERONICA NEMLEY MSW, ACSW
Provider Business Mailing Address
First Line : PO BOX 1377
Second Line :
City : LOMA LINDA
State : CA
Zip : 92354-1377
Country : US
Telephone Number : 909-850-1888
Fax Number :
Provider Business Practice Location Address
First Line : 20 W LUGONIA AVE
Second Line :
City : REDLANDS
State : CA
Zip : 92374-2234
Country : US
Telephone Number : 909-307-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 08/16/2024

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