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NPI Code Detail

MEDICARE: MS. BARBARA CAROLE CAIN

MEDICARE: MS. BARBARA CAROLE CAIN
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 Worker6801063850MI

General Provider Information

NPI Number : 1689738510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA CAROLE CAIN
Provider Business Mailing Address
First Line : 1844 OAK HOLLOW DR
Second Line : SUITE B
City : TRAVERSE CITY
State : MI
Zip : 49686-5924
Country : US
Telephone Number : 231-922-7134
Fax Number : 231-933-6378
Provider Business Practice Location Address
First Line : 1844 OAK HOLLOW DR
Second Line : SUITE B
City : TRAVERSE CITY
State : MI
Zip : 49686-5924
Country : US
Telephone Number : 231-922-7134
Fax Number : 231-933-6378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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Directions to “ MS. BARBARA CAROLE CAIN ” Practice Location

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