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NPI Code Detail

MEDICARE: MRS. BRENDA JOYCE DOWSE LCSW

MEDICARE:  MRS. BRENDA JOYCE DOWSE  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
11041C0700XClinical Social Worker8614398-3501UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821318346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA JOYCE DOWSE LCSW
Provider Business Mailing Address
First Line : 5814 S 900 E
Second Line :
City : MURRAY
State : UT
Zip : 84121-1644
Country : US
Telephone Number : 385-800-3272
Fax Number : 385-800-3260
Provider Business Practice Location Address
First Line : 5814 S 900 E
Second Line :
City : MURRAY
State : UT
Zip : 84121-1644
Country : US
Telephone Number : 385-800-3272
Fax Number : 385-800-3260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2010
Last Update Date : 07/16/2023

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