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NPI Code Detail

MEDICARE: REBECCA L COMSTOCK LMSW

MEDICARE:   REBECCA L COMSTOCK  LMSW
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 WorkerLMSW 5069KS

General Provider Information

NPI Number : 1699111757
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA L COMSTOCK LMSW
Provider Business Mailing Address
First Line : 710 W 8TH ST
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-2404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 710 W 8TH ST
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-2404
Country : US
Telephone Number : 620-223-8590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2013
Last Update Date : 05/16/2013

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Directions to “ REBECCA L COMSTOCK LMSW” Practice Location

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