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NPI Code Detail

MEDICARE: MARGARET ANN FIRESTINE MSW

MEDICARE: MARGARET ANN FIRESTINE MSW
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
1101YM0800XMental Health Counselor
2320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1740473297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ANN FIRESTINE MSW
Provider Business Mailing Address
First Line : 7595 KRAMERIA ST
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-1339
Country : US
Telephone Number : 720-334-9104
Fax Number :
Provider Business Practice Location Address
First Line : 7595 KRAMERIA ST
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-1339
Country : US
Telephone Number : 720-334-9104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2007
Last Update Date : 08/18/2007

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