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NPI Code Detail

MEDICARE: ALISON MCAFEE EHARA-BROWN LCSW

MEDICARE:   ALISON MCAFEE EHARA-BROWN  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 Worker16577CA

General Provider Information

NPI Number : 1912159724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON MCAFEE EHARA-BROWN LCSW
Provider Business Mailing Address
First Line : 1715 SOLANO AVE STE B
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2220
Country : US
Telephone Number : 510-525-1635
Fax Number :
Provider Business Practice Location Address
First Line : 1715 SOLANO AVE STE B
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2220
Country : US
Telephone Number : 510-525-1635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2008
Last Update Date : 10/13/2008

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