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NPI Code Detail

MEDICARE: MARIAH SNAPP

MEDICARE:   MARIAH  SNAPP
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 Worker60751TX

General Provider Information

NPI Number : 1972985562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH SNAPP
Provider Business Mailing Address
First Line : 5060 CASSIDY LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9171
Country : US
Telephone Number : 606-776-8047
Fax Number :
Provider Business Practice Location Address
First Line : 9800 HILLWOOD PKWY STE 140
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-1532
Country : US
Telephone Number : 682-738-6409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2015
Last Update Date : 10/10/2020

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Directions to “ MARIAH SNAPP ” Practice Location

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