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NPI Code Detail

MEDICARE: MRS. MARGIE L CROW LCSW

MEDICARE: MRS. MARGIE L CROW 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
1101YM0800XMental Health Counselor0904000583VA

General Provider Information

NPI Number : 1104878677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGIE L CROW LCSW
Provider Business Mailing Address
First Line : 13821 VILLAGE MILL DR
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23114-4365
Country : US
Telephone Number : 804-794-8900
Fax Number : 804-378-2012
Provider Business Practice Location Address
First Line : 13821 VILLAGE MILL DR
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23114-4365
Country : US
Telephone Number : 804-794-8900
Fax Number : 804-378-2012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/08/2007

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