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NPI Code Detail

MEDICARE: MARIKE I'DELL SEEMANN

MEDICARE: MARIKE I'DELL SEEMANN
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
1104100000XSocial Worker25224CA
21041C0700XClinical Social Worker64676CA

General Provider Information

NPI Number : 1790807840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIKE I'DELL SEEMANN
Provider Business Mailing Address
First Line : 629 OAKLAND AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4567
Country : US
Telephone Number : 510-658-9480
Fax Number :
Provider Business Practice Location Address
First Line : 629 OAKLAND AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4567
Country : US
Telephone Number : 510-658-9480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 05/27/2015

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Directions to “ MARIKE I'DELL SEEMANN ” Practice Location

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