MEDICARE: MARGARITA DRUMGOOLE

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
1	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1538751938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA DRUMGOOLE

Provider Business Mailing Address
First Line	:	PO BOX 18544
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-0544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 N SHERMAN BLVD STE 303
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-3463
Country	:	US
Telephone Number	:	414-585-9557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2021
Last Update Date	:	02/07/2021

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Directions to “ MARGARITA DRUMGOOLE ” Practice Location

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