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NPI Code Detail

MEDICARE: ERIN DE MORANVILLE

MEDICARE: ERIN DE MORANVILLE
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 Worker1218CO

General Provider Information

NPI Number : 1780856351
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN DE MORANVILLE
Provider Business Mailing Address
First Line : 3738 W PRINCETON CIR
Second Line :
City : DENVER
State : CO
Zip : 80236-3110
Country : US
Telephone Number : 303-781-7875
Fax Number :
Provider Business Practice Location Address
First Line : 3738 W PRINCETON CIR
Second Line :
City : DENVER
State : CO
Zip : 80236-3110
Country : US
Telephone Number : 303-781-7875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2008
Last Update Date : 03/09/2009

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Directions to “ ERIN DE MORANVILLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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