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NPI Code Detail

MEDICARE: CARRIE ANN STRONG BA

MEDICARE: CARRIE ANN STRONG BA
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 Worker
2247200000XOther Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851756019
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE ANN STRONG BA
Provider Business Mailing Address
First Line : 3138 DAGGITT DR
Second Line :
City : SPRING ARBOR
State : MI
Zip : 49283-9742
Country : US
Telephone Number : 517-392-1995
Fax Number :
Provider Business Practice Location Address
First Line : 3138 DAGGITT DR
Second Line :
City : SPRING ARBOR
State : MI
Zip : 49283-9742
Country : US
Telephone Number : 517-392-1995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2015
Last Update Date : 08/16/2016

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