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NPI Code Detail

MEDICARE: KAYLA MORALES LCSW

MEDICARE:   KAYLA  MORALES  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 Worker095633NY

General Provider Information

NPI Number : 1578349726
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MORALES LCSW
Provider Business Mailing Address
First Line : 23 DOSE RD
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-3403
Country : US
Telephone Number : 914-420-0656
Fax Number :
Provider Business Practice Location Address
First Line : 17 LAKE WALTON RD
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-6309
Country : US
Telephone Number : 845-227-1770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2023
Last Update Date : 09/05/2023

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Directions to “ KAYLA MORALES LCSW” Practice Location

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