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NPI Code Detail

MEDICARE: MRS. JENNIFER LAMORA LCSW

MEDICARE:  MRS. JENNIFER  LAMORA  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 WorkerSW 7397FL

General Provider Information

NPI Number : 1861642951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LAMORA LCSW
Provider Business Mailing Address
First Line : 14234 TREE SWALLOW WAY
Second Line :
City : BRADENTON
State : FL
Zip : 34202-8293
Country : US
Telephone Number : 941-753-0175
Fax Number :
Provider Business Practice Location Address
First Line : 10920 E STATE ROAD 70
Second Line :
City : BRADENTON
State : FL
Zip : 34202-8400
Country : US
Telephone Number : 941-753-0175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 09/24/2008

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Directions to “ MRS. JENNIFER LAMORA LCSW” Practice Location

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