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NPI Code Detail

MEDICARE: MRS. MARIA ELOISA TABILON YEE LCSW

MEDICARE: MRS. MARIA ELOISA TABILON YEE 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 WorkerLCS20646CA

General Provider Information

NPI Number : 1558384040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA ELOISA TABILON YEE LCSW
Provider Business Mailing Address
First Line : 7300 WYNDHAM DR FL 2
Second Line : 7300 WYNDHAM DRIVE, FL 2
City : SACRAMENTO
State : CA
Zip : 95823-4913
Country : US
Telephone Number : 916-525-6204
Fax Number : 916-525-6108
Provider Business Practice Location Address
First Line : 7300 WYNDHAM DR FL 2
Second Line : STE 1100
City : SACRAMENTO
State : CA
Zip : 95823-4913
Country : US
Telephone Number : 916-525-6204
Fax Number : 916-525-6108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 01/11/2022

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