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NPI Code Detail

MEDICARE: MR. MICHAEL JOSEPH DROUILHET LCSW

MEDICARE:  MR. MICHAEL JOSEPH DROUILHET  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 WorkerLCS 8991CA

General Provider Information

NPI Number : 1659301307
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL JOSEPH DROUILHET LCSW
Provider Business Mailing Address
First Line : 2945 HARDING ST
Second Line : 112
City : CARLSBAD
State : CA
Zip : 92008-1818
Country : US
Telephone Number : 760-720-0662
Fax Number : 760-931-0728
Provider Business Practice Location Address
First Line : 2945 HARDING ST
Second Line : STE 112
City : CARLSBAD
State : CA
Zip : 92008-1818
Country : US
Telephone Number : 760-720-0662
Fax Number : 760-931-0728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/08/2007

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Directions to “ MR. MICHAEL JOSEPH DROUILHET LCSW” Practice Location

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