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NPI Code Detail

MEDICARE: SHARON M FARREY LCSW

MEDICARE:   SHARON M FARREY  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
1102L00000XPsychoanalyst6992-123WI

General Provider Information

NPI Number : 1356552483
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON M FARREY LCSW
Provider Business Mailing Address
First Line : 273 CROSS ST
Second Line :
City : BENTON
State : WI
Zip : 53803-8917
Country : US
Telephone Number : 608-759-9930
Fax Number : 608-348-9650
Provider Business Practice Location Address
First Line : N3152 STATE ROAD 81
Second Line :
City : MONROE
State : WI
Zip : 53566-9397
Country : US
Telephone Number : 608-328-9388
Fax Number : 608-328-9650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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Directions to “ SHARON M FARREY LCSW” Practice Location

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