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NPI Code Detail

MEDICARE: ERIN STANLEY

MEDICARE: ERIN STANLEY
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 WorkerLG50081410DC

General Provider Information

NPI Number : 1619346731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN STANLEY
Provider Business Mailing Address
First Line : 4801 BENNING RD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-6145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4801 BENNING RD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-6145
Country : US
Telephone Number : 202-582-5477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 09/18/2015

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Directions to “ ERIN STANLEY ” Practice Location

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