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NPI Code Detail

MEDICARE: SARAH COWELL

MEDICARE: SARAH COWELL
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1881139871
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH COWELL
Provider Business Mailing Address
First Line : 209 E CHIPPEWA ST
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-1609
Country : US
Telephone Number : 989-772-1261
Fax Number : 989-772-1300
Provider Business Practice Location Address
First Line : 209 E CHIPPEWA ST
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-1609
Country : US
Telephone Number : 989-772-1261
Fax Number : 989-772-1300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2016
Last Update Date : 12/29/2016

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Directions to “ SARAH COWELL ” Practice Location

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