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NPI Code Detail

MEDICARE: NORMA GARCIA LLMSW

MEDICARE: NORMA GARCIA LLMSW
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
1104100000XSocial Worker6801090871MI

General Provider Information

NPI Number : 1598100026
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMA GARCIA LLMSW
Provider Business Mailing Address
First Line : 555 TOWNER ST
Second Line : PO BOX 915
City : YPSILANTI
State : MI
Zip : 48198-5752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4125 WASHTENAW AVE
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1003
Country : US
Telephone Number : 734-973-4887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2013
Last Update Date : 05/10/2013

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