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NPI Code Detail

MEDICARE: MRS. CORINNE PIRSON DEROSA LCSW

MEDICARE: MRS. CORINNE PIRSON DEROSA 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
11041S0200XSchool Social WorkerLCSW-11856AZ

General Provider Information

NPI Number : 1770631335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORINNE PIRSON DEROSA LCSW
Provider Business Mailing Address
First Line : 1144 N FIJI WAY
Second Line :
City : GILBERT
State : AZ
Zip : 85234-2885
Country : US
Telephone Number : 480-633-6911
Fax Number :
Provider Business Practice Location Address
First Line : 2550 E ELLIOT RD
Second Line :
City : GILBERT
State : AZ
Zip : 85234-1304
Country : US
Telephone Number : 480-892-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CORINNE PIRSON DEROSA LCSW” Practice Location

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