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NPI Code Detail

MEDICARE: MARILYN BARR PICKENS LCSW

MEDICARE:   MARILYN BARR PICKENS  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
11041C0700XClinical Social Worker02708TX

General Provider Information

NPI Number : 1194874107
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN BARR PICKENS LCSW
Provider Business Mailing Address
First Line : 11426 GRACECHURCH DR
Second Line :
City : HOUSTON
State : TX
Zip : 77066-4822
Country : US
Telephone Number : 281-224-8286
Fax Number :
Provider Business Practice Location Address
First Line : 11426 GRACECHURCH DR
Second Line :
City : HOUSTON
State : TX
Zip : 77066-4822
Country : US
Telephone Number : 281-224-8286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/08/2007

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Directions to “ MARILYN BARR PICKENS LCSW” Practice Location

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