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NPI Code Detail

MEDICARE: CHILDREN & FAMILY INTERVENTIONS

MEDICARE: CHILDREN & FAMILY INTERVENTIONS
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 Worker4835-CNV

General Provider Information

NPI Number : 1669627543
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN & FAMILY INTERVENTIONS
Provider Business Mailing Address
First Line : 35 N WEST ST
Second Line :
City : FERNLEY
State : NV
Zip : 89408-7671
Country : US
Telephone Number : 177-557-5414
Fax Number : 177-557-5414
Provider Business Practice Location Address
First Line : 35 N WEST ST
Second Line :
City : FERNLEY
State : NV
Zip : 89408-7671
Country : US
Telephone Number : 177-557-5414
Fax Number : 177-557-5414
Authorized Official
Title or Position : OWNER
Name : MR. JEFFREY WILLIAM DAVIS
Credential : LCSW
Telephone Number : 17755754141
Provider Enumeration Date : 11/19/2008
Last Update Date : 11/19/2008

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Directions to “CHILDREN & FAMILY INTERVENTIONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.