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NPI Code Detail

MEDICARE: MS. GAIL J AUSTIN LCSW

MEDICARE: MS. GAIL J AUSTIN 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 WorkerVA

General Provider Information

NPI Number : 1861574972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL J AUSTIN LCSW
Provider Business Mailing Address
First Line : 940 W. PRINCESS ANNE ROAD
Second Line : # A4
City : NORFOLK
State : VA
Zip : 23507
Country : US
Telephone Number : 757-627-1183
Fax Number :
Provider Business Practice Location Address
First Line : 327 W 21ST ST
Second Line : SUITE 205
City : NORFOLK
State : VA
Zip : 23517-2130
Country : US
Telephone Number : 757-622-9852
Fax Number : 757-622-4033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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