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NPI Code Detail

MEDICARE: CATHY RICE MA, JD

MEDICARE:   CATHY  RICE  MA, JD
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
1171M00000XCase Manager/Care CoordinatorMI
2101Y00000XCounselorMI

General Provider Information

NPI Number : 1407404122
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY RICE MA, JD
Provider Business Mailing Address
First Line : 454 FOX HILLS DR N APT 6
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-1331
Country : US
Telephone Number : 248-796-1830
Fax Number : 248-282-5396
Provider Business Practice Location Address
First Line : 454 FOX HILLS DR N APT 6
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-1331
Country : US
Telephone Number : 248-796-1830
Fax Number : 248-282-5396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 08/28/2019

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