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NPI Code Detail

MEDICARE: RACHEL VASQUEZ

MEDICARE:   RACHEL  VASQUEZ
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 Worker6801089922MI

General Provider Information

NPI Number : 1063375491
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL VASQUEZ
Provider Business Mailing Address
First Line : 2513 HIGHLAND AVE
Second Line :
City : JACKSON
State : MI
Zip : 49203-6358
Country : US
Telephone Number : 734-545-1354
Fax Number :
Provider Business Practice Location Address
First Line : 2513 HIGHLAND AVE
Second Line :
City : JACKSON
State : MI
Zip : 49203-6358
Country : US
Telephone Number : 734-545-1354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ RACHEL VASQUEZ ” Practice Location

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