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NPI Code Detail

MEDICARE: ALLANAH RIVERS

MEDICARE: ALLANAH RIVERS
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 Worker24057MD

General Provider Information

NPI Number : 1023587748
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLANAH RIVERS
Provider Business Mailing Address
First Line : 6 BEECH DR APT H
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-5107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 WASHINGTON AVE
Second Line :
City : HALETHORPE
State : MD
Zip : 21227-3115
Country : US
Telephone Number : 667-600-3982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2018
Last Update Date : 11/26/2018

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Directions to “ ALLANAH RIVERS ” Practice Location

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