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NPI Code Detail

MEDICARE: MARCY SHRUM LISW

MEDICARE: MARCY SHRUM LISW
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 Worker32602MN
2104100000XSocial Worker072596IA

General Provider Information

NPI Number : 1780084939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCY SHRUM LISW
Provider Business Mailing Address
First Line : 1913 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-4223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1913 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-4223
Country : US
Telephone Number : 515-726-9166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2014
Last Update Date : 12/11/2023

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Directions to “ MARCY SHRUM LISW” Practice Location

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