MEDICARE: MISS REBECCA MICHELLE MAGUIRE LICSW

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1144522541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS REBECCA MICHELLE MAGUIRE LICSW

Provider Business Mailing Address
First Line	:	9418 HANCOCK AVE SE
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-5014
Country	:	US
Telephone Number	:	401-835-8871
Fax Number	:

Provider Business Practice Location Address
First Line	:	9418 HANCOCK AVE SE
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-5014
Country	:	US
Telephone Number	:	401-835-8871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	05/19/2026

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