MEDICARE: ANDREA MARCH

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
1	104100000X	Social Worker	12753	AZ

General Provider Information

NPI Number	:	1932629672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MARCH

Provider Business Mailing Address
First Line	:	10240 N 31ST AVE STE 122
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9564
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10240 N 31ST AVE STE 122
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9564
Country	:	US
Telephone Number	:	602-863-1862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2017
Last Update Date	:	06/23/2017

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Directions to “ ANDREA MARCH ” Practice Location

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