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NPI Code Detail

MEDICARE: PEGGY ALENE BARNES L.M.S.W.

MEDICARE:   PEGGY ALENE BARNES  L.M.S.W.
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
11041C0700XClinical Social Worker6801059954MI

General Provider Information

NPI Number : 1285726455
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY ALENE BARNES L.M.S.W.
Provider Business Mailing Address
First Line : PO BOX 223
Second Line :
City : EAST LANSING
State : MI
Zip : 48826-0223
Country : US
Telephone Number : 517-485-7572
Fax Number :
Provider Business Practice Location Address
First Line : 1140 ABBOT RD
Second Line : #223
City : EAST LANSING
State : MI
Zip : 48823-0223
Country : US
Telephone Number : 517-485-7572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/06/2021

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Directions to “ PEGGY ALENE BARNES L.M.S.W.” Practice Location

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