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NPI Code Detail

MEDICARE: DEON LAMAW AARON MSW

MEDICARE:   DEON LAMAW AARON  MSW
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
1171M00000XCase Manager/Care CoordinatorNONEAR
2104100000XSocial Worker

General Provider Information

NPI Number : 1437234630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEON LAMAW AARON MSW
Provider Business Mailing Address
First Line : 100 RIVENDELL DR
Second Line :
City : BENTON
State : AR
Zip : 72019-9188
Country : US
Telephone Number : 501-316-1255
Fax Number :
Provider Business Practice Location Address
First Line : 100 RIVENDELL DR
Second Line :
City : BENTON
State : AR
Zip : 72019-9188
Country : US
Telephone Number : 501-316-1255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 03/02/2012

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Directions to “ DEON LAMAW AARON MSW” Practice Location

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