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NPI Code Detail

MEDICARE: MARGARET DWYER-ANDERSON LCSW

MEDICARE: MARGARET DWYER-ANDERSON 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 Worker44SC00023800NJ

General Provider Information

NPI Number : 1740375864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET DWYER-ANDERSON LCSW
Provider Business Mailing Address
First Line : PO BOX 445
Second Line :
City : W LONG BRANCH
State : NJ
Zip : 07764-0445
Country : US
Telephone Number : 732-493-8080
Fax Number : 732-493-8080
Provider Business Practice Location Address
First Line : 931 W PARK AVE
Second Line :
City : OCEAN
State : NJ
Zip : 07712-7207
Country : US
Telephone Number : 732-493-8080
Fax Number : 732-493-8810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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