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NPI Code Detail

MEDICARE: MS. SANDRA TEIXEIRA MSW

MEDICARE:  MS. SANDRA  TEIXEIRA  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
11041C0700XClinical Social WorkerASW 20392CA

General Provider Information

NPI Number : 1528130473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA TEIXEIRA MSW
Provider Business Mailing Address
First Line : 1650 MISSION ST
Second Line : 5TH FLOOR
City : SAN FRANCISCO
State : CA
Zip : 94103-2414
Country : US
Telephone Number : 415-355-3680
Fax Number : 415-355-3683
Provider Business Practice Location Address
First Line : 1650 MISSION ST
Second Line : 5TH FLOOR
City : SAN FRANCISCO
State : CA
Zip : 94103-2414
Country : US
Telephone Number : 415-355-3680
Fax Number : 415-355-3683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 09/14/2010

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Directions to “ MS. SANDRA TEIXEIRA MSW” Practice Location

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