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NPI Code Detail

MEDICARE: LOUISA BECK

MEDICARE: LOUISA BECK
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 WorkerTN

General Provider Information

NPI Number : 1437162575
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISA BECK
Provider Business Mailing Address
First Line : 4887 MENDENHALL PL
Second Line :
City : MEMPHIS
State : TN
Zip : 38117-2611
Country : US
Telephone Number : 901-818-0513
Fax Number :
Provider Business Practice Location Address
First Line : 3461 AUSTIN PEAY HWY
Second Line :
City : MEMPHIS
State : TN
Zip : 38128-3801
Country : US
Telephone Number : 901-261-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/08/2007

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Directions to “ LOUISA BECK ” Practice Location

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