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NPI Code Detail

MEDICARE: JANET DOWELL LCSW

MEDICARE: JANET DOWELL 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 Worker59264TX

General Provider Information

NPI Number : 1891333290
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET DOWELL LCSW
Provider Business Mailing Address
First Line : 4006 SAN MATEO DR
Second Line :
City : PLANO
State : TX
Zip : 75093-6618
Country : US
Telephone Number : 469-275-6770
Fax Number :
Provider Business Practice Location Address
First Line : 5228 VILLAGE CREEK DR STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4430
Country : US
Telephone Number : 972-913-4738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2019
Last Update Date : 12/16/2019

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