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NPI Code Detail

MEDICARE: LISA GHALI SOCIAL WORKER

MEDICARE:   LISA  GHALI  SOCIAL WORKER
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 WorkerLG50079080DC

General Provider Information

NPI Number : 1740873488
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA GHALI SOCIAL WORKER
Provider Business Mailing Address
First Line : 3204 18TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-1002
Country : US
Telephone Number : 917-547-2299
Fax Number :
Provider Business Practice Location Address
First Line : 3204 18TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-1002
Country : US
Telephone Number : 917-547-2299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2021
Last Update Date : 02/13/2021

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Directions to “ LISA GHALI SOCIAL WORKER” Practice Location

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