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NPI Code Detail

MEDICARE: MUI LEANNE GIP LCSW

MEDICARE:   MUI LEANNE GIP  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 WorkerLCS21925CA

General Provider Information

NPI Number : 1528213980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUI LEANNE GIP LCSW
Provider Business Mailing Address
First Line : 1676 E PALO ALTO AVE
Second Line :
City : FRESNO
State : CA
Zip : 93710-4243
Country : US
Telephone Number : 209-247-2206
Fax Number :
Provider Business Practice Location Address
First Line : 1676 E PALO ALTO AVE
Second Line :
City : FRESNO
State : CA
Zip : 93710-4243
Country : US
Telephone Number : 209-247-2206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2008
Last Update Date : 05/25/2026

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Directions to “ MUI LEANNE GIP LCSW” Practice Location

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