MEDICARE: MS. MARY FRANCES ALLISON 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1477738433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY FRANCES ALLISON MSW

Provider Business Mailing Address
First Line	:	1044 LINDEN AVE APT 8
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1676
Country	:	US
Telephone Number	:	818-557-0818
Fax Number	:

Provider Business Practice Location Address
First Line	:	1044 LINDEN AVE APT 8
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1676
Country	:	US
Telephone Number	:	818-557-0818
Fax Number	:

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

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	01/08/2008

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