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NPI Code Detail

MEDICARE: MS. CATHY S MESKE MSW

MEDICARE: MS. CATHY S MESKE 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
11041C0700XClinical Social Worker6801015293MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16801015293OTHERMIMICHIGAN STATE LICENSE#

General Provider Information

NPI Number : 1558412056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHY S MESKE MSW
Provider Business Mailing Address
First Line : 12429 INDIAN RESERVE RD
Second Line :
City : HUBBARD LAKE
State : MI
Zip : 49747-9555
Country : US
Telephone Number : 989-356-2161
Fax Number :
Provider Business Practice Location Address
First Line : 400 JOHNSON ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1434
Country : US
Telephone Number : 989-356-2161
Fax Number : 989-354-5898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2007
Last Update Date : 07/08/2007

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Directions to “ MS. CATHY S MESKE MSW” Practice Location

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