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NPI Code Detail

MEDICARE: MRS. MARY J ALBRIGHT LCSW

MEDICARE: MRS. MARY J ALBRIGHT 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 WorkerSW001163MO

General Provider Information

NPI Number : 1205944881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY J ALBRIGHT LCSW
Provider Business Mailing Address
First Line : 1307 EDGEWOOD DR
Second Line :
City : FESTUS
State : MO
Zip : 63028-3405
Country : US
Telephone Number : 636-933-2470
Fax Number :
Provider Business Practice Location Address
First Line : 9735 LANDMARK PARKWAY DR
Second Line : SUITE 17
City : SAINT LOUIS
State : MO
Zip : 63127-1646
Country : US
Telephone Number : 314-842-6223
Fax Number : 314-842-6124
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MARY J ALBRIGHT LCSW” Practice Location

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