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NPI Code Detail

MEDICARE: MRS. NATALIE ROSE DAYLAMI LCSW

MEDICARE: MRS. NATALIE ROSE DAYLAMI 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 Worker66077CA

General Provider Information

NPI Number : 1699774737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE ROSE DAYLAMI LCSW
Provider Business Mailing Address
First Line : 1500 21ST ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-5216
Country : US
Telephone Number : 916-443-3299
Fax Number :
Provider Business Practice Location Address
First Line : 1500 21ST ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-5216
Country : US
Telephone Number : 916-443-3299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 01/11/2022

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