MEDICARE: MS. CASEY ANNE SCRIBNER MA

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1376627794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CASEY ANNE SCRIBNER MA

Provider Business Mailing Address
First Line	:	12 HANCOCK CT
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5210
Country	:	US
Telephone Number	:	617-769-7211
Fax Number	:	617-770-1421

Provider Business Practice Location Address
First Line	:	12 HANCOCK CT
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5210
Country	:	US
Telephone Number	:	617-769-7211
Fax Number	:	617-770-1421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/08/2007

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