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NPI Code Detail

MEDICARE: KAREN KOONCE LCSW

MEDICARE:   KAREN  KOONCE  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 WorkerCSW003771GA

General Provider Information

NPI Number : 1982937793
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN KOONCE LCSW
Provider Business Mailing Address
First Line : 746 HANCOCK ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-1205
Country : US
Telephone Number : 917-805-4339
Fax Number :
Provider Business Practice Location Address
First Line : 746 HANCOCK ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-1205
Country : US
Telephone Number : 917-805-4339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2009
Last Update Date : 03/17/2018

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