MEDICARE: MARGE COFFEY MSW

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
1	1041C0700X	Clinical Social Worker	09132	MD

General Provider Information

NPI Number	:	1124399365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGE COFFEY MSW

Provider Business Mailing Address
First Line	:	6200 MONTROSE RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-4119
Country	:	US
Telephone Number	:	301-802-4971
Fax Number	:	301-881-3558

Provider Business Practice Location Address
First Line	:	6200 MONTROSE RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-4119
Country	:	US
Telephone Number	:	301-802-4971
Fax Number	:	301-881-3558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2012
Last Update Date	:	01/19/2012

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