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NPI Code Detail

MEDICARE: MRS. MICHELLE WALKER SAYRE LCSW-C

MEDICARE: MRS. MICHELLE WALKER SAYRE LCSW-C
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 Worker13224MD

General Provider Information

NPI Number : 1538213319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE WALKER SAYRE LCSW-C
Provider Business Mailing Address
First Line : 3330 COOL BRANCH RD
Second Line :
City : CHURCHVILLE
State : MD
Zip : 21028-1108
Country : US
Telephone Number : 410-734-7380
Fax Number :
Provider Business Practice Location Address
First Line : 39 KENSINGTON PKWY
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1851
Country : US
Telephone Number : 410-459-3844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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