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NPI Code Detail

MEDICARE: MISA YANAGISAWA LCSW

MEDICARE: MISA YANAGISAWA 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 WorkerLCSW13623AZ

General Provider Information

NPI Number : 1851573158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISA YANAGISAWA LCSW
Provider Business Mailing Address
First Line : 3250 W LOWER BUCKEYE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-6729
Country : US
Telephone Number : 602-876-6802
Fax Number :
Provider Business Practice Location Address
First Line : 3250 W LOWER BUCKEYE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-6729
Country : US
Telephone Number : 602-876-3813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2007
Last Update Date : 12/05/2014

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Directions to “ MISA YANAGISAWA LCSW” Practice Location

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