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NPI Code Detail

MEDICARE: KAREN M RAMOS MSW, LMSW

MEDICARE: KAREN M RAMOS MSW, LMSW
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 Worker2016017423MO

General Provider Information

NPI Number : 1902316672
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN M RAMOS MSW, LMSW
Provider Business Mailing Address
First Line : 5627 DEVONSHIRE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63109-2872
Country : US
Telephone Number : 323-440-4182
Fax Number :
Provider Business Practice Location Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 314-254-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2017
Last Update Date : 10/06/2017

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