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NPI Code Detail

MEDICARE: ERIC C NORMAN LMSW

MEDICARE: ERIC C NORMAN LMSW
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 Worker6801084163MI

General Provider Information

NPI Number : 1518008663
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC C NORMAN LMSW
Provider Business Mailing Address
First Line : 3253 CONGRESS AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48602-3106
Country : US
Telephone Number : 989-793-4790
Fax Number : 989-793-1641
Provider Business Practice Location Address
First Line : 3253 CONGRESS AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48602-3106
Country : US
Telephone Number : 989-793-4790
Fax Number : 989-793-1641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2007
Last Update Date : 07/08/2007

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Directions to “ ERIC C NORMAN LMSW” Practice Location

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