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NPI Code Detail

MEDICARE: SOPHIA MARIE CONSIDINE

MEDICARE:   SOPHIA MARIE CONSIDINE
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 Worker6802090184MI

General Provider Information

NPI Number : 1013575901
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA MARIE CONSIDINE
Provider Business Mailing Address
First Line : 7366 CRYSTAL LAKE DR APT 2
Second Line :
City : SWARTZ CREEK
State : MI
Zip : 48473-8949
Country : US
Telephone Number : 248-891-7833
Fax Number :
Provider Business Practice Location Address
First Line : 7366 CRYSTAL LAKE DR APT 2
Second Line :
City : SWARTZ CREEK
State : MI
Zip : 48473-8949
Country : US
Telephone Number : 248-891-7833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 06/05/2019

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Directions to “ SOPHIA MARIE CONSIDINE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.