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NPI Code Detail

MEDICARE: MRS. RACHELLE YVONNE MCGARRY LMSW

MEDICARE:  MRS. RACHELLE YVONNE MCGARRY  LMSW
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
1104100000XSocial Worker6801032987MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1750910888OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1427024934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHELLE YVONNE MCGARRY LMSW
Provider Business Mailing Address
First Line : 8435 HOLLY RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-1812
Country : US
Telephone Number : 810-424-2400
Fax Number : 810-579-7222
Provider Business Practice Location Address
First Line : 8435 HOLLY RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-1812
Country : US
Telephone Number : 810-424-2400
Fax Number : 810-579-7222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 01/28/2009

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Directions to “ MRS. RACHELLE YVONNE MCGARRY LMSW” Practice Location

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