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NPI Code Detail

MEDICARE: ALYSHIA BILLS

MEDICARE:   ALYSHIA  BILLS
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 WorkerMN

General Provider Information

NPI Number : 1649708983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSHIA BILLS
Provider Business Mailing Address
First Line : 3400 1ST ST N STE 101
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-1924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1509 24TH AVE N
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-1306
Country : US
Telephone Number : 320-252-8648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 05/31/2017

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Directions to “ ALYSHIA BILLS ” Practice Location

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