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NPI Code Detail

MEDICARE: MARION MATTHEW LYBARGER LMSW

MEDICARE: MARION MATTHEW LYBARGER LMSW
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 Worker2012020860KS

General Provider Information

NPI Number : 1245589258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARION MATTHEW LYBARGER LMSW
Provider Business Mailing Address
First Line : 1500 W ASHLAND ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-1710
Country : US
Telephone Number : 417-667-2666
Fax Number : 417-448-5604
Provider Business Practice Location Address
First Line : 1500 W ASHLAND ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-1710
Country : US
Telephone Number : 417-667-2666
Fax Number : 417-448-5604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 06/21/2026

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