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NPI Code Detail

MEDICARE: GRACE KATHERINE ARMSTRONG

MEDICARE:   GRACE KATHERINE ARMSTRONG
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 WorkerS.2106329OH

General Provider Information

NPI Number : 1164015418
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE KATHERINE ARMSTRONG
Provider Business Mailing Address
First Line : 2602 CHATEAU ROYALE CT
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-1819
Country : US
Telephone Number : 304-288-0175
Fax Number :
Provider Business Practice Location Address
First Line : 1126 PEARWAY LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-3221
Country : US
Telephone Number : 304-288-0175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2021
Last Update Date : 06/04/2021

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Directions to “ GRACE KATHERINE ARMSTRONG ” Practice Location

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