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NPI Code Detail

MEDICARE: RACHEL M DUNN LCSW-TEMP.

MEDICARE: RACHEL M DUNN LCSW-TEMP.
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 Worker8049-123WI

General Provider Information

NPI Number : 1396179107
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL M DUNN LCSW-TEMP.
Provider Business Mailing Address
First Line : 17 S.RIVER ST.
Second Line : SUITE 254
City : JANESVILLE
State : WI
Zip : 53548-3863
Country : US
Telephone Number : 608-755-5260
Fax Number : 608-755-5267
Provider Business Practice Location Address
First Line : 17 S.RIVER ST.
Second Line : SUITE 254
City : JANESVILLE
State : WI
Zip : 53548-3863
Country : US
Telephone Number : 608-755-5260
Fax Number : 608-755-5267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2013
Last Update Date : 08/28/2013

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Directions to “ RACHEL M DUNN LCSW-TEMP.” Practice Location

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