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NPI Code Detail

MEDICARE: MS. SUZANNE MORGAN LICSW

MEDICARE: MS. SUZANNE MORGAN LICSW
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 Worker13509MN

General Provider Information

NPI Number : 1427135151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZANNE MORGAN LICSW
Provider Business Mailing Address
First Line : 621 W LAKE ST STE 350
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2952
Country : US
Telephone Number : 612-799-7299
Fax Number :
Provider Business Practice Location Address
First Line : 621 W LAKE ST STE 350
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2952
Country : US
Telephone Number : 612-799-7299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 06/29/2015

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