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General NPI Number Information
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NPI Number | 1699206243
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Entity Type | Individual
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Provider Name | MAGGIE MAY MCGRAW LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 410 E 20TH STREET
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City | VANCOUVER
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State | WA
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Zip | 98663
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Country | US
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Telephone | 360-857-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 16109 NE 31ST AVENUE
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City | RIDGEFIELD
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State | WA
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Zip | 98642
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Country | US
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Telephone | 360-857-9899
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60895771
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License Number State | WA
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