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NPI Code Detail

MEDICARE: KASEY GOLDEN LAMB LMSW

MEDICARE: KASEY GOLDEN LAMB 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 Worker104950TX

General Provider Information

NPI Number : 1548971526
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY GOLDEN LAMB LMSW
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2612 W VILLA MARIA RD
Second Line :
City : BRYAN
State : TX
Zip : 77807-4881
Country : US
Telephone Number : 979-207-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2022
Last Update Date : 01/30/2025

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Directions to “ KASEY GOLDEN LAMB LMSW” Practice Location

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