Provider Demographics
NPI:1205017431
Name:SLIGER, GEORGENE
Entity Type:Individual
Prefix:
First Name:GEORGENE
Middle Name:
Last Name:SLIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1799
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93515-1799
Mailing Address - Country:US
Mailing Address - Phone:760-873-6364
Mailing Address - Fax:760-873-5103
Practice Address - Street 1:568 W LINE ST
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-3313
Practice Address - Country:US
Practice Address - Phone:760-873-6364
Practice Address - Fax:760-873-5100
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker