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NPI Code Detail

MEDICARE: MISS AMBER MARIE SUNDLAND LCSW

MEDICARE: MISS AMBER MARIE SUNDLAND 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 Worker6821-CNV

General Provider Information

NPI Number : 1861746182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AMBER MARIE SUNDLAND LCSW
Provider Business Mailing Address
First Line : 9460 DOUBLE R BLVD
Second Line : STE 101
City : RENO
State : NV
Zip : 89521-6020
Country : US
Telephone Number : 775-284-8650
Fax Number : 775-432-2339
Provider Business Practice Location Address
First Line : 5578 LONGLEY LN
Second Line :
City : RENO
State : NV
Zip : 89511-1825
Country : US
Telephone Number : 775-284-8650
Fax Number : 775-284-8654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2012
Last Update Date : 03/08/2018

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Directions to “ MISS AMBER MARIE SUNDLAND LCSW” Practice Location

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