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NPI Code Detail

MEDICARE: JANICE M BUCHIN LMSW ACSW

MEDICARE: JANICE M BUCHIN LMSW ACSW
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
11041C0700XClinical Social Worker6801085197MI

General Provider Information

NPI Number : 1417912882
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE M BUCHIN LMSW ACSW
Provider Business Mailing Address
First Line : PO BOX 10
Second Line :
City : MASON
State : MI
Zip : 48854-0010
Country : US
Telephone Number : 517-676-9788
Fax Number : 517-676-3438
Provider Business Practice Location Address
First Line : 142 E MAUMEE ST STE 3
Second Line :
City : ADRIAN
State : MI
Zip : 49221-2735
Country : US
Telephone Number : 517-263-5810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/29/2019

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