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NPI Code Detail

MEDICARE: MS. CAROL ANN COTTER LISW

MEDICARE: MS. CAROL ANN COTTER LISW
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 WorkerI-06165NM

General Provider Information

NPI Number : 1891886602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL ANN COTTER LISW
Provider Business Mailing Address
First Line : 8745 COUNTY ROAD 9 S
Second Line :
City : ALAMOSA
State : CO
Zip : 81101-9610
Country : US
Telephone Number : 719-589-3671
Fax Number :
Provider Business Practice Location Address
First Line : 8745 COUNTY ROAD 9 S
Second Line :
City : ALAMOSA
State : CO
Zip : 81101-9610
Country : US
Telephone Number : 719-589-3671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 11/18/2016

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Directions to “ MS. CAROL ANN COTTER LISW” Practice Location

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