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NPI Code Detail

MEDICARE: MS. MARION HUGHES LCSW

MEDICARE: MS. MARION HUGHES LCSW
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 WorkerCSW000409GA

General Provider Information

NPI Number : 1659387546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARION HUGHES LCSW
Provider Business Mailing Address
First Line : 6415 CEDAR GROVE RD
Second Line :
City : FAIRBURN
State : GA
Zip : 30213-2457
Country : US
Telephone Number : 770-774-8057
Fax Number :
Provider Business Practice Location Address
First Line : 1249 DONALD LEE HOLLOWELL PKWY NW
Second Line : 3 RD FLOOR
City : ATLANTA
State : GA
Zip : 30318-6657
Country : US
Telephone Number : 404-870-3675
Fax Number : 404-870-3697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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