MEDICARE: MARY RAMSEY

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	104100000X	Social Worker	4788-S	NV

General Provider Information

NPI Number	:	1649224700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY RAMSEY

Provider Business Mailing Address
First Line	:	6375 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1139
Country	:	US
Telephone Number	:	702-253-0818
Fax Number	:

Provider Business Practice Location Address
First Line	:	6375 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1139
Country	:	US
Telephone Number	:	702-253-0818
Fax Number	:

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/08/2007

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Directions to “ MARY RAMSEY ” Practice Location

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