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NPI Code Detail

MEDICARE: MS. MARGARET ANN HOWARD LCSW

MEDICARE: MS. MARGARET ANN HOWARD LCSW
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 Worker2012015417MO
21041C0700XClinical Social Worker149021153IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11041C0700XOTHERMOCLINICAL

General Provider Information

NPI Number : 1194064774
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARGARET ANN HOWARD LCSW
Provider Business Mailing Address
First Line : 5232 DAGGETT AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-3026
Country : US
Telephone Number : 314-225-6128
Fax Number :
Provider Business Practice Location Address
First Line : 1564 S WASHINGTON ST
Second Line :
City : DU QUOIN
State : IL
Zip : 62832-3849
Country : US
Telephone Number : 618-542-8702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2013
Last Update Date : 11/26/2019

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