GEORGE W SCUDELLA CSW

Dr GEORGE W SCUDELLA CSW is a male medical professional, specializing in Clinical Social Worker. He graduated in 1990.

Contact

615 N 15TH ST
CANON CITY
CO
812122313

Tel: 7192698338

GEORGE W SCUDELLA CSW Information

Npi 1083673750
Pac Id 6507859402
Professional Enrollment Id I20040406001430
Last Name SCUDELLA
First Name GEORGE
Middle Name W
Suffix
Gender M
Credential CSW
Medical School Name OTHER
Graduation Year 1990
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 615 N 15TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANON CITY
State CO
Zip Code 812122313
Phone Number 7192698338
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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