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NPI Code Detail

MEDICARE: MARIAH M GARLO MSW

MEDICARE:   MARIAH M GARLO  MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1124336631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH M GARLO MSW
Provider Business Mailing Address
First Line : 3001 MOORE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-1642
Country : US
Telephone Number : 215-339-4289
Fax Number : 215-339-4455
Provider Business Practice Location Address
First Line : 3001 MOORE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-1642
Country : US
Telephone Number : 215-339-4289
Fax Number : 215-339-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2010
Last Update Date : 02/19/2013

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Directions to “ MARIAH M GARLO MSW” Practice Location

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