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NPI Code Detail

MEDICARE: RACHEL N THIERRY

MEDICARE: RACHEL N THIERRY
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 Worker25936MD

General Provider Information

NPI Number : 1487423091
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL N THIERRY
Provider Business Mailing Address
First Line : PO BOX 91
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21060-0091
Country : US
Telephone Number : 443-762-0722
Fax Number :
Provider Business Practice Location Address
First Line : 38 CUTTER COVE CT
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-7509
Country : US
Telephone Number : 410-841-8453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2023
Last Update Date : 05/25/2026

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Directions to “ RACHEL N THIERRY ” Practice Location

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