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NPI Code Detail

MEDICARE: MS. KRYSIA CHRISTINE DANKOWSKI LCSW

MEDICARE: MS. KRYSIA CHRISTINE DANKOWSKI 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 WorkerLCS 16064CA

General Provider Information

NPI Number : 1437430428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRYSIA CHRISTINE DANKOWSKI LCSW
Provider Business Mailing Address
First Line : 6926 MELROSE AVE
Second Line : HOMESAFE
City : LOS ANGELES
State : CA
Zip : 90038-3306
Country : US
Telephone Number : 323-934-7979
Fax Number : 323-934-0514
Provider Business Practice Location Address
First Line : 6926 MELROSE AVENUE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90038-3306
Country : US
Telephone Number : 323-934-7979
Fax Number : 323-934-0514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 09/02/2011

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