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NPI Code Detail

MEDICARE: SUSAN MARIE BARROW LMSW

MEDICARE: SUSAN MARIE BARROW LMSW
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 Worker6801085198MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659418457
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MARIE BARROW LMSW
Provider Business Mailing Address
First Line : 555 TOWNER ST
Second Line : PO BOX 915
City : YPSILANTI
State : MI
Zip : 48198-5752
Country : US
Telephone Number : 734-544-3000
Fax Number : 734-544-6732
Provider Business Practice Location Address
First Line : 4125 WASHTENAW AVE
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1003
Country : US
Telephone Number : 734-973-4887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 02/29/2012

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