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NPI Code Detail

MEDICARE: MS. MICHELE GRECO MSW, LCSW

MEDICARE:  MS. MICHELE  GRECO  MSW, 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 WorkerSW7047FL

General Provider Information

NPI Number : 1235452947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELE GRECO MSW, LCSW
Provider Business Mailing Address
First Line : PO BOX 52
Second Line :
City : SANFORD
State : FL
Zip : 32772-0052
Country : US
Telephone Number : 407-273-8570
Fax Number :
Provider Business Practice Location Address
First Line : 600 N HIGHWAY 17/92
Second Line : SUITE 168A
City : LONGWOOD
State : FL
Zip : 32750-3624
Country : US
Telephone Number : 407-619-6620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/09/2010

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Directions to “ MS. MICHELE GRECO MSW, LCSW” Practice Location

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