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NPI Code Detail

MEDICARE: MISS TERESA SIVILLI MPH, MSW

MEDICARE: MISS TERESA SIVILLI MPH, MSW
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 WorkerMSW008754GA

General Provider Information

NPI Number : 1790495331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TERESA SIVILLI MPH, MSW
Provider Business Mailing Address
First Line : PO BOX 29004
Second Line :
City : ATLANTA
State : GA
Zip : 30359-0004
Country : US
Telephone Number : 678-551-2530
Fax Number :
Provider Business Practice Location Address
First Line : 1036 OXFORD ROAD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-2606
Country : US
Telephone Number : 678-551-2530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 12/05/2022

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