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NPI Code Detail

MEDICARE: MS. KAREN LOUISE PRICE MSW

MEDICARE:  MS. KAREN LOUISE PRICE  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
11041C0700XClinical Social Worker6802077577MI

General Provider Information

NPI Number : 1497757892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN LOUISE PRICE MSW
Provider Business Mailing Address
First Line : 1616 MILLBROOK ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49508-2633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 529 BALDWIN ST
Second Line :
City : JENISON
State : MI
Zip : 49428-7902
Country : US
Telephone Number : 616-457-3830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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Directions to “ MS. KAREN LOUISE PRICE MSW” Practice Location

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