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NPI Code Detail

MEDICARE: SAMANTHA GARCIA PLLC

MEDICARE: SAMANTHA GARCIA PLLC
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 Worker

General Provider Information

NPI Number : 1104587815
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMANTHA GARCIA PLLC
Provider Business Mailing Address
First Line : 2785 GARFIELD RD N STE C
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-5168
Country : US
Telephone Number : 231-252-0518
Fax Number : 231-943-2555
Provider Business Practice Location Address
First Line : 2785 GARFIELD RD N STE C
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-5168
Country : US
Telephone Number : 231-252-0518
Fax Number : 231-943-2555
Authorized Official
Title or Position : DIRECTOR
Name : SAMANTHA GARCIA
Credential : LMSW
Telephone Number : 231-252-0518
Provider Enumeration Date : 01/05/2022
Last Update Date : 03/16/2023

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Directions to “SAMANTHA GARCIA PLLC ” Practice Location

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