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NPI Code Detail

MEDICARE: PENNY DELANEY

MEDICARE: PENNY DELANEY
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 Worker6803085202MI

General Provider Information

NPI Number : 1285077362
Entity Type Code : Individual
Provider Name (Legal Business Name) : PENNY DELANEY
Provider Business Mailing Address
First Line : 1717 N HIGH ST
Second Line :
City : LANSING
State : MI
Zip : 48906-4597
Country : US
Telephone Number : 517-372-4700
Fax Number :
Provider Business Practice Location Address
First Line : 1717 N HIGH ST
Second Line :
City : LANSING
State : MI
Zip : 48906-4529
Country : US
Telephone Number : 517-372-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2013
Last Update Date : 03/07/2019

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Directions to “ PENNY DELANEY ” Practice Location

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