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NPI Code Detail

MEDICARE: FLORIZA FUSON-CHANDLER LMSW

MEDICARE: FLORIZA FUSON-CHANDLER LMSW
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
1104100000XSocial Worker58031TX

General Provider Information

NPI Number : 1689043481
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORIZA FUSON-CHANDLER LMSW
Provider Business Mailing Address
First Line : 7760 ALABAMA ST
Second Line :
City : EL PASO
State : TX
Zip : 79904-3136
Country : US
Telephone Number : 915-757-7999
Fax Number :
Provider Business Practice Location Address
First Line : 7760 ALABAMA ST
Second Line :
City : EL PASO
State : TX
Zip : 79904-3136
Country : US
Telephone Number : 915-757-7999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2015
Last Update Date : 09/22/2015

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Directions to “ FLORIZA FUSON-CHANDLER LMSW” Practice Location

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