MEDICARE: EMILY SLOOK MSW LSW

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
1	1041C0700X	Clinical Social Worker	SW127874	PA

General Provider Information

NPI Number	:	1427504984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY SLOOK MSW LSW

Provider Business Mailing Address
First Line	:	502 W GERMANTOWN PIKE
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4232
Country	:	US
Telephone Number	:	610-275-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 W GERMANTOWN PIKE
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4232
Country	:	US
Telephone Number	:	610-275-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2016
Last Update Date	:	08/25/2016

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