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NPI Code Detail

MEDICARE: MISS SHEREE MARIE OLIVIER LCSW

MEDICARE:  MISS SHEREE MARIE OLIVIER  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 Worker52010

General Provider Information

NPI Number : 1578787040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHEREE MARIE OLIVIER LCSW
Provider Business Mailing Address
First Line : 3803 BOULDER DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-3114
Country : US
Telephone Number : 972-502-4020
Fax Number : 214-932-7509
Provider Business Practice Location Address
First Line : 3803 BOULDER DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-3114
Country : US
Telephone Number : 972-502-4020
Fax Number : 214-932-7509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 10/17/2018

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Directions to “ MISS SHEREE MARIE OLIVIER LCSW” Practice Location

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