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NPI Code Detail

MEDICARE: MARGARET THOELE MSW

MEDICARE: MARGARET THOELE MSW
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
11041S0200XSchool Social Worker1832846IL

General Provider Information

NPI Number : 1407526239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET THOELE MSW
Provider Business Mailing Address
First Line : 20 S 27TH ST
Second Line :
City : BELLEVILLE
State : IL
Zip : 62226-6724
Country : US
Telephone Number : 618-233-4132
Fax Number : 618-236-2548
Provider Business Practice Location Address
First Line : 20 S 27TH ST
Second Line :
City : BELLEVILLE
State : IL
Zip : 62226-6724
Country : US
Telephone Number : 618-233-4132
Fax Number : 618-236-2548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 09/14/2021

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