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NPI Code Detail

MEDICARE: RAYCHEL FOX

MEDICARE:   RAYCHEL  FOX
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

General Provider Information

NPI Number : 1932048964
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYCHEL FOX
Provider Business Mailing Address
First Line : 920 BURTON ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49507-3322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1115 BALL AVE NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49505-5904
Country : US
Telephone Number : 616-456-6571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ RAYCHEL FOX ” Practice Location

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