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NPI Code Detail

MEDICARE: MS. ANN-MAIRE COORE LICSW

MEDICARE:  MS. ANN-MAIRE  COORE  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
1104100000XSocial Worker

General Provider Information

NPI Number : 1235307968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN-MAIRE COORE LICSW
Provider Business Mailing Address
First Line : 216 MICHIGAN AVE NE
Second Line : SUITE 200
City : WASHINGTON
State : DC
Zip : 20017-1095
Country : US
Telephone Number : 202-877-6354
Fax Number :
Provider Business Practice Location Address
First Line : 216 MICHIGAN AVE NE
Second Line : SUITE 200
City : WASHINGTON
State : DC
Zip : 20017-1095
Country : US
Telephone Number : 202-877-6354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2008
Last Update Date : 02/15/2008

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Directions to “ MS. ANN-MAIRE COORE LICSW” Practice Location

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