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NPI Code Detail

MEDICARE: TRUDI MARIE TURNBULL LCSW

MEDICARE:   TRUDI MARIE TURNBULL  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 Worker149004576IL

General Provider Information

NPI Number : 1619207792
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRUDI MARIE TURNBULL LCSW
Provider Business Mailing Address
First Line : 2100 5TH ST
Second Line :
City : LINCOLN
State : IL
Zip : 62656-9115
Country : US
Telephone Number : 217-732-3771
Fax Number : 217-735-1738
Provider Business Practice Location Address
First Line : 2100 5TH ST
Second Line :
City : LINCOLN
State : IL
Zip : 62656-9115
Country : US
Telephone Number : 217-732-3771
Fax Number : 217-735-1738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2010
Last Update Date : 01/12/2010

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Directions to “ TRUDI MARIE TURNBULL LCSW” Practice Location

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