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NPI Code Detail

MEDICARE: MARCIA MALNAR

MEDICARE: MARCIA MALNAR
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 WorkerIL

General Provider Information

NPI Number : 1801856919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA MALNAR
Provider Business Mailing Address
First Line : 290 WHITE PINE LN
Second Line :
City : ANNA
State : IL
Zip : 62906-3275
Country : US
Telephone Number : 618-833-3091
Fax Number :
Provider Business Practice Location Address
First Line : 109 LOU ANN DR
Second Line :
City : HERRIN
State : IL
Zip : 62948-3733
Country : US
Telephone Number : 618-988-1330
Fax Number : 618-988-8321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 07/08/2007

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Directions to “ MARCIA MALNAR ” Practice Location

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