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NPI Code Detail

MEDICARE: JACQUELINE BARBARA KAPLAN LCSW

MEDICARE:   JACQUELINE BARBARA KAPLAN  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 WorkerLCSW-13492AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LCSW-13492OTHERAZLCSW-13492

General Provider Information

NPI Number : 1922273093
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE BARBARA KAPLAN LCSW
Provider Business Mailing Address
First Line : 1601 N TUCSON BLVD STE 38
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3410
Country : US
Telephone Number : 520-901-0968
Fax Number : 520-844-1033
Provider Business Practice Location Address
First Line : 1601 N TUCSON BLVD STE 38
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3410
Country : US
Telephone Number : 520-901-0968
Fax Number : 520-844-1033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2008
Last Update Date : 12/13/2017

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Directions to “ JACQUELINE BARBARA KAPLAN LCSW” Practice Location

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