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NPI Code Detail

MEDICARE: MISS LATATCHE A FARLEY LCSW

MEDICARE:  MISS LATATCHE A FARLEY  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 Worker72723-1NY
21041S0200XSchool Social Worker

General Provider Information

NPI Number : 1619931045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LATATCHE A FARLEY LCSW
Provider Business Mailing Address
First Line : 383 VERMONT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-4211
Country : US
Telephone Number : 646-529-3415
Fax Number : 718-642-2335
Provider Business Practice Location Address
First Line : 383 VERMONT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-4211
Country : US
Telephone Number : 646-529-3415
Fax Number : 718-642-2335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 02/07/2008

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Directions to “ MISS LATATCHE A FARLEY LCSW” Practice Location

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