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NPI Code Detail

MEDICARE: LIAT SEGAL ACSW

MEDICARE:   LIAT  SEGAL  ACSW
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 Worker20085CA

General Provider Information

NPI Number : 1437483948
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIAT SEGAL ACSW
Provider Business Mailing Address
First Line : 3919 4TH AVE STE B
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-3172
Country : US
Telephone Number : 619-231-2668
Fax Number : 619-231-4133
Provider Business Practice Location Address
First Line : 3919 4TH AVE STE B
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-3172
Country : US
Telephone Number : 619-231-2668
Fax Number : 619-231-4133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2009
Last Update Date : 09/30/2009

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Directions to “ LIAT SEGAL ACSW” Practice Location

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