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NPI Code Detail

MEDICARE: MRS. ALICIA FAYE MOCABY

MEDICARE: MRS. ALICIA FAYE MOCABY
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 : 1134325558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA FAYE MOCABY
Provider Business Mailing Address
First Line : 301 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3240
Country : US
Telephone Number : 618-252-9036
Fax Number :
Provider Business Practice Location Address
First Line : 301 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3240
Country : US
Telephone Number : 618-252-9036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 12/12/2025

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Directions to “ MRS. ALICIA FAYE MOCABY ” Practice Location

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