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NPI Code Detail

MEDICARE: STEPHANIE S LAGALO LMSW

MEDICARE: STEPHANIE S LAGALO LMSW
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 Worker

General Provider Information

NPI Number : 1811924715
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE S LAGALO LMSW
Provider Business Mailing Address
First Line : 610 S BURDICK ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-5221
Country : US
Telephone Number : 269-381-3700
Fax Number : 269-381-3810
Provider Business Practice Location Address
First Line : 610 S BURDICK ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-5221
Country : US
Telephone Number : 269-381-3700
Fax Number : 269-381-3810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/08/2007

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Directions to “ STEPHANIE S LAGALO LMSW” Practice Location

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