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NPI Code Detail

MEDICARE: GLENDINE SOISETH LMSW

MEDICARE: GLENDINE SOISETH 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
1104100000XSocial Worker13123AZ
2104100000XSocial Worker16952MN
31041C0700XClinical Social WorkerLCSW-15768AZ

General Provider Information

NPI Number : 1992071526
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDINE SOISETH LMSW
Provider Business Mailing Address
First Line : 7047 E GREENWAY PKWY STE 250
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-8113
Country : US
Telephone Number : 602-420-3379
Fax Number :
Provider Business Practice Location Address
First Line : 7047 E GREENWAY PKWY STE 250
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-8113
Country : US
Telephone Number : 602-420-3379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2012
Last Update Date : 01/19/2024

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Directions to “ GLENDINE SOISETH LMSW” Practice Location

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