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NPI Code Detail

MEDICARE: JUDITH MUHLIN LCSW

MEDICARE: JUDITH MUHLIN 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 WorkerR014521NY
21041C0700XClinical Social WorkerLC13249ME

General Provider Information

NPI Number : 1750324646
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH MUHLIN LCSW
Provider Business Mailing Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6470
Fax Number : 207-973-6109
Provider Business Practice Location Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6470
Fax Number : 207-973-6109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 04/10/2013

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