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NPI Code Detail

MEDICARE: MRS. ESTELLE ARIETTA GILES-MONROE LCSW-R

MEDICARE:  MRS. ESTELLE ARIETTA GILES-MONROE  LCSW-R
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 WorkerR060643-1NY

General Provider Information

NPI Number : 1619940319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ESTELLE ARIETTA GILES-MONROE LCSW-R
Provider Business Mailing Address
First Line : 530 BEDFORD RD
Second Line :
City : SCHENECTADY
State : NY
Zip : 12308-3400
Country : US
Telephone Number : 518-370-0535
Fax Number :
Provider Business Practice Location Address
First Line : 20 CENTURY HILL DRIVE
Second Line : SUITE 202
City : LATHAM
State : NY
Zip : 12110-2314
Country : US
Telephone Number : 518-785-7283
Fax Number : 518-785-7293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. ESTELLE ARIETTA GILES-MONROE LCSW-R” Practice Location

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