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NPI Code Detail

MEDICARE: MRS. MARGARET M DEBACK MA

MEDICARE: MRS. MARGARET M DEBACK MA
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
1106H00000XMarriage & Family Therapist
2101Y00000XCounselor

General Provider Information

NPI Number : 1760671598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET M DEBACK MA
Provider Business Mailing Address
First Line : 6833 STOCKTON BLVD STE 485
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2376
Country : US
Telephone Number : 209-745-3101
Fax Number : 209-745-7539
Provider Business Practice Location Address
First Line : 3161 DWIGHT RD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-6456
Country : US
Telephone Number : 916-427-7141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 04/09/2024

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