MEDICARE: G. ANN REMICK-BARLOW AND ASSOCIATES, LLC

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	1041C0700X	Clinical Social Worker	S19588	TX
2	106H00000X	Marriage & Family Therapist	000914039956	TX
3	1041C0700X	Clinical Social Worker	I2560	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588998710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G. ANN REMICK-BARLOW AND ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2027 WESTWIND RD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-4536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 WESTWIND RD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-4536
Country	:	US
Telephone Number	:	575-526-6040
Fax Number	:	575-523-8837

Authorized Official
Title or Position	:	OWNER/EXECUTIVE DIRECTOR
Name	:	G. ANN REMICK-BARLOW
Credential	:
Telephone Number	:	575-526-6040

Provider Enumeration Date	:	09/21/2009
Last Update Date	:	09/21/2009

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