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NPI Code Detail

MEDICARE: GARRY FINN LMSW

MEDICARE: GARRY FINN 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
1104100000XSocial Worker

General Provider Information

NPI Number : 1760753073
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRY FINN LMSW
Provider Business Mailing Address
First Line : 935 STATE ROUTE VV
Second Line :
City : KENNETT
State : MO
Zip : 63857-3822
Country : US
Telephone Number : 573-888-5925
Fax Number : 573-888-9365
Provider Business Practice Location Address
First Line : 935 STATE ROUTE VV
Second Line :
City : KENNETT
State : MO
Zip : 63857-3822
Country : US
Telephone Number : 573-888-5925
Fax Number : 573-888-9365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2012
Last Update Date : 08/14/2023

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