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NPI Code Detail

MEDICARE: MARGARETE J LOGHRY MSW

MEDICARE: MARGARETE J LOGHRY MSW
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 Worker594WY

General Provider Information

NPI Number : 1023090404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARETE J LOGHRY MSW
Provider Business Mailing Address
First Line : 501 ALBANY AVE
Second Line :
City : TORRINGTON
State : WY
Zip : 82240-1503
Country : US
Telephone Number : 307-532-4091
Fax Number :
Provider Business Practice Location Address
First Line : 501 ALBANY AVE
Second Line :
City : TORRINGTON
State : WY
Zip : 82240-1503
Country : US
Telephone Number : 307-532-4091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 09/09/2016

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