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NPI Code Detail

MEDICARE: MIRANDA FURIE L.C.S.W.

MEDICARE:   MIRANDA  FURIE  L.C.S.W.
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
1104100000XSocial Worker
21041C0700XClinical Social Worker67600CA

General Provider Information

NPI Number : 1891832127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA FURIE L.C.S.W.
Provider Business Mailing Address
First Line : 3274 DENVER AVE APT 2
Second Line :
City : MERCED
State : CA
Zip : 95348-1646
Country : US
Telephone Number : 510-778-4254
Fax Number :
Provider Business Practice Location Address
First Line : 3274 DENVER AVE APT 2
Second Line :
City : MERCED
State : CA
Zip : 95348-1646
Country : US
Telephone Number : 510-778-4254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 03/25/2021

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Directions to “ MIRANDA FURIE L.C.S.W.” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.