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NPI Code Detail

MEDICARE: MS. MOLLY B MCGRATH LCSW

MEDICARE: MS. MOLLY B MCGRATH LCSW
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 WorkerMO

General Provider Information

NPI Number : 1083817332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MOLLY B MCGRATH LCSW
Provider Business Mailing Address
First Line : 7401 LANSDOWNE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-2835
Country : US
Telephone Number : 314-660-4561
Fax Number :
Provider Business Practice Location Address
First Line : 7401 LANSDOWNE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-2835
Country : US
Telephone Number : 314-660-4561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MOLLY B MCGRATH LCSW” Practice Location

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