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NPI Code Detail

MEDICARE: CHRISTINA CARRAWAY LCSW

MEDICARE:   CHRISTINA  CARRAWAY  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 WorkerSW7730FL

General Provider Information

NPI Number : 1750329199
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CARRAWAY LCSW
Provider Business Mailing Address
First Line : 10200 N ARMENIA AVE
Second Line : 1404
City : TAMPA
State : FL
Zip : 33612-7364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10200 N ARMENIA AVE
Second Line : 1404
City : TAMPA
State : FL
Zip : 33612-7364
Country : US
Telephone Number : 813-777-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 07/08/2007

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Directions to “ CHRISTINA CARRAWAY LCSW” Practice Location

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