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NPI Code Detail

MEDICARE: MS. LYNN ADELE SNYDER MSW

MEDICARE: MS. LYNN ADELE SNYDER MSW
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 11656FL
2101YA0400XAddiction (Substance Use Disorder) Counselor6018FL

General Provider Information

NPI Number : 1871665349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNN ADELE SNYDER MSW
Provider Business Mailing Address
First Line : 8270 BURNT STORE RD UNIT 3
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-4705
Country : US
Telephone Number : 941-505-8080
Fax Number : 941-505-8090
Provider Business Practice Location Address
First Line : 8270 BURNT STORE RD UNIT 3
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-4705
Country : US
Telephone Number : 941-505-8080
Fax Number : 941-505-8090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 02/17/2014

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