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NPI Code Detail

MEDICARE: MRS. PAULINE NMN TSOSIE MSW

MEDICARE:  MRS. PAULINE NMN TSOSIE  MSW
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 WorkerM2233NM

Other Identifiers

General Provider Information

NPI Number : 1922095314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULINE NMN TSOSIE MSW
Provider Business Mailing Address
First Line : PO BOX 160
Second Line :
City : SHIPROCK
State : NM
Zip : 87420-0160
Country : US
Telephone Number : 505-368-6401
Fax Number : 505-368-6431
Provider Business Practice Location Address
First Line : US HWY 491 N
Second Line :
City : SHIPROCK
State : NM
Zip : 87420
Country : US
Telephone Number : 505-368-6401
Fax Number : 505-368-6431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 06/03/2008

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Directions to “ MRS. PAULINE NMN TSOSIE MSW” Practice Location

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