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NPI Code Detail

MEDICARE: MS. TERESA ANNE SPAULDING LCSW

MEDICARE: MS. TERESA ANNE SPAULDING 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 Worker26812CA

General Provider Information

NPI Number : 1427344159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESA ANNE SPAULDING LCSW
Provider Business Mailing Address
First Line : 2829 WATT AVE STE 150
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-6245
Country : US
Telephone Number : 916-979-3524
Fax Number :
Provider Business Practice Location Address
First Line : 2829 WATT AVE STE 150
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-6245
Country : US
Telephone Number : 916-979-3524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2011
Last Update Date : 02/22/2017

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Directions to “ MS. TERESA ANNE SPAULDING LCSW” Practice Location

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