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NPI Code Detail

MEDICARE: MRS. RACHEAL MARIE TRUPE LLMSW

MEDICARE: MRS. RACHEAL MARIE TRUPE LLMSW
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 Worker6851116501MI
2104100000XSocial Worker6802085536MI

General Provider Information

NPI Number : 1871501650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEAL MARIE TRUPE LLMSW
Provider Business Mailing Address
First Line : 3161 WASHINGTON ST
Second Line :
City : FORT GRATIOT
State : MI
Zip : 48059-2860
Country : US
Telephone Number : 989-550-0492
Fax Number :
Provider Business Practice Location Address
First Line : 2415 24TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6414
Country : US
Telephone Number : 104-888-8648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 05/24/2023

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