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NPI Code Detail

MEDICARE: ANN FARRAR LCSW

MEDICARE:   ANN  FARRAR  LCSW
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 Worker1049KY

General Provider Information

NPI Number : 1841238839
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN FARRAR LCSW
Provider Business Mailing Address
First Line : 1100 WALNUT ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-2956
Country : US
Telephone Number : 270-689-6500
Fax Number :
Provider Business Practice Location Address
First Line : 1100 WALNUT ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-2956
Country : US
Telephone Number : 270-689-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 08/28/2007

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Directions to “ ANN FARRAR LCSW” Practice Location

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