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NPI Code Detail

MEDICARE: MISS MEGAN CATHERINE PRATT

MEDICARE: MISS MEGAN CATHERINE PRATT
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
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social Worker6801101252MI

General Provider Information

NPI Number : 1306212931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MEGAN CATHERINE PRATT
Provider Business Mailing Address
First Line : 7116 CROSSWINDS DR
Second Line :
City : SWARTZ CREEK
State : MI
Zip : 48473-9778
Country : US
Telephone Number : 810-931-1381
Fax Number :
Provider Business Practice Location Address
First Line : 40 E FERRY ST
Second Line :
City : DETROIT
State : MI
Zip : 48202-3802
Country : US
Telephone Number : 313-833-2970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2015
Last Update Date : 07/21/2022

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Directions to “ MISS MEGAN CATHERINE PRATT ” Practice Location

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