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NPI Code Detail

MEDICARE: MARGARET GREENOUGH M.F.T.

MEDICARE: MARGARET GREENOUGH M.F.T.
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 TherapistMFC 41360CA

General Provider Information

NPI Number : 1811099385
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET GREENOUGH M.F.T.
Provider Business Mailing Address
First Line : 4144 WINDING WAY # 8
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4413
Country : US
Telephone Number : 916-489-4103
Fax Number : 916-489-4103
Provider Business Practice Location Address
First Line : 4144 WINDING WAY # 8
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4413
Country : US
Telephone Number : 916-489-4103
Fax Number : 916-489-4103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 07/08/2007

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