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NPI Code Detail

MEDICARE: DAGMAR VODRAZKOVA LCSW

MEDICARE: DAGMAR VODRAZKOVA 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 WorkerC012241NC

General Provider Information

NPI Number : 1841693132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAGMAR VODRAZKOVA LCSW
Provider Business Mailing Address
First Line : PO BOX 2187
Second Line :
City : SYLVA
State : NC
Zip : 28779-2187
Country : US
Telephone Number : 828-631-3973
Fax Number :
Provider Business Practice Location Address
First Line : 1207 EAST ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3438
Country : US
Telephone Number : 828-631-3973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2014
Last Update Date : 11/26/2019

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