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NPI Code Detail

MEDICARE: RACHEL LIBERT

MEDICARE: RACHEL LIBERT
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 WorkerSWC.0000002057CO

General Provider Information

NPI Number : 1538992896
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LIBERT
Provider Business Mailing Address
First Line : 755 MELANY LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5979
Country : US
Telephone Number : 719-338-4585
Fax Number :
Provider Business Practice Location Address
First Line : 2116 HOLLOW BROOK DR STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1443
Country : US
Telephone Number : 719-249-0984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 08/26/2024

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Directions to “ RACHEL LIBERT ” Practice Location

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