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NPI Code Detail

MEDICARE: EMILY CATHERINE URIBE

MEDICARE: EMILY CATHERINE URIBE
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 Worker

General Provider Information

NPI Number : 1619505328
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CATHERINE URIBE
Provider Business Mailing Address
First Line : 1334 CLARKE AVE SW
Second Line :
City : ROANOKE
State : VA
Zip : 24016-4902
Country : US
Telephone Number : 540-283-9160
Fax Number :
Provider Business Practice Location Address
First Line : 3005 PETERS CREEK RD NW
Second Line :
City : ROANOKE
State : VA
Zip : 24019-2738
Country : US
Telephone Number : 540-556-4034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2020
Last Update Date : 03/29/2020

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Directions to “ EMILY CATHERINE URIBE ” Practice Location

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