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NPI Code Detail

MEDICARE: SHARON K HEADRICK MSW

MEDICARE: SHARON K HEADRICK MSW
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 WorkerCSW 09923383CO

General Provider Information

NPI Number : 1699922971
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON K HEADRICK MSW
Provider Business Mailing Address
First Line : 201 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3939
Country : US
Telephone Number : 719-336-0261
Fax Number : 719-336-0265
Provider Business Practice Location Address
First Line : 200 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3940
Country : US
Telephone Number : 719-336-0261
Fax Number : 719-336-0265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 02/14/2019

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