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NPI Code Detail

MEDICARE: MS. JUANITA B TURNER LMSW

MEDICARE: MS. JUANITA B TURNER 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
1104100000XSocial Worker1683-MAR

General Provider Information

NPI Number : 1578681342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUANITA B TURNER LMSW
Provider Business Mailing Address
First Line : PO BOX 413
Second Line :
City : PORTLAND
State : AR
Zip : 71663-0413
Country : US
Telephone Number : 870-737-2882
Fax Number :
Provider Business Practice Location Address
First Line : 1371 HIGHWAY 278 W
Second Line :
City : MONTICELLO
State : AR
Zip : 71655-9663
Country : US
Telephone Number : 870-367-2141
Fax Number : 870-367-2103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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