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NPI Code Detail

MEDICARE: JOANNE M VILLANI

MEDICARE:   JOANNE M VILLANI
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 WorkerLCS4378CA

General Provider Information

NPI Number : 1659481802
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE M VILLANI
Provider Business Mailing Address
First Line : 1715 SOLANO AVE STE B
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1715 SOLANO AVE STE B
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2220
Country : US
Telephone Number : 510-287-5619
Fax Number : 510-524-3120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ JOANNE M VILLANI ” Practice Location

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