Basic Information
Provider Information
NPI: 1013343417
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHIOATTO
FirstName: MILENE
MiddleName: V
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 134 RED BROOK RD
Address2:  
City: EAST FALMOUTH
State: MA
PostalCode: 025367742
CountryCode: US
TelephoneNumber: 7743921967
FaxNumber:  
Practice Location
Address1: 94 MAIN ST
Address2:  
City: HYANNIS
State: MA
PostalCode: 026013146
CountryCode: US
TelephoneNumber: 5087719599
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/18/2013
LastUpdateDate: 09/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X  Y Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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