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NPI Code Detail

MEDICARE: KEVIN DOBSON LCSW

MEDICARE: KEVIN DOBSON 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 Worker34004034IN

General Provider Information

NPI Number : 1891753570
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN DOBSON LCSW
Provider Business Mailing Address
First Line : 2901 OHIO BLVD
Second Line : SUITE 202
City : TERRE HAUTE
State : IN
Zip : 47803-2239
Country : US
Telephone Number : 812-232-2144
Fax Number : 812-234-4598
Provider Business Practice Location Address
First Line : 2901 OHIO BLVD
Second Line : SUITE 202
City : TERRE HAUTE
State : IN
Zip : 47803-2239
Country : US
Telephone Number : 812-232-2144
Fax Number : 812-234-4598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 03/25/2008

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Directions to “ KEVIN DOBSON LCSW” Practice Location

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