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NPI Code Detail

MEDICARE: MS. MARY MCCRAY

MEDICARE: MS. MARY MCCRAY
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1164219473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY MCCRAY
Provider Business Mailing Address
First Line : 2331 NE 53RD ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-3235
Country : US
Telephone Number : 954-869-9759
Fax Number :
Provider Business Practice Location Address
First Line : 2331 NE 53RD ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-3235
Country : US
Telephone Number : 954-869-9759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2025
Last Update Date : 04/21/2025

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Directions to “ MS. MARY MCCRAY ” Practice Location

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