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NPI Code Detail

MEDICARE: KRISTIN JEANENE NORDEN LCSW

MEDICARE: KRISTIN JEANENE NORDEN 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 WorkerC004688NC

General Provider Information

NPI Number : 1831104595
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN JEANENE NORDEN LCSW
Provider Business Mailing Address
First Line : PO BOX 13605
Second Line :
City : GREENSBORO
State : NC
Zip : 27415-3605
Country : US
Telephone Number : 336-832-9943
Fax Number :
Provider Business Practice Location Address
First Line : 700 WALTER REED DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1128
Country : US
Telephone Number : 336-832-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/08/2007

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Directions to “ KRISTIN JEANENE NORDEN LCSW” Practice Location

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