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NPI Code Detail

MEDICARE: MARY ELIZABETH AGUIRRE

MEDICARE: MARY ELIZABETH AGUIRRE
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 Worker2003028940MO
21041C0700XClinical Social Worker2279KS

General Provider Information

NPI Number : 1083784094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH AGUIRRE
Provider Business Mailing Address
First Line : 2137 SE 6TH TER
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64063-1020
Country : US
Telephone Number : 816-333-0606
Fax Number : 816-523-5418
Provider Business Practice Location Address
First Line : 6155 OAK ST
Second Line : SUITE E
City : KANSAS CITY
State : MO
Zip : 64113-2238
Country : US
Telephone Number : 816-333-0606
Fax Number : 816-523-5418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ MARY ELIZABETH AGUIRRE ” Practice Location

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