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NPI Code Detail

MEDICARE: ANNETTE L BECKLUND LCSW

MEDICARE:   ANNETTE L BECKLUND  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 Worker44SC05214000NJ

General Provider Information

NPI Number : 1588768287
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE L BECKLUND LCSW
Provider Business Mailing Address
First Line : PO BOX 3870
Second Line :
City : SPRING HILL
State : FL
Zip : 34611-3870
Country : US
Telephone Number : 727-859-7316
Fax Number : 732-782-0345
Provider Business Practice Location Address
First Line : 11027 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34608-5049
Country : US
Telephone Number : 727-859-7316
Fax Number : 732-782-0345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 10/26/2018

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Directions to “ ANNETTE L BECKLUND LCSW” Practice Location

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