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NPI Code Detail

MEDICARE: MARY CAROLINE PEEDEN

MEDICARE:   MARY CAROLINE PEEDEN
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 WorkerAL

General Provider Information

NPI Number : 1962364430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CAROLINE PEEDEN
Provider Business Mailing Address
First Line : 115 FAIRGROUND RD
Second Line :
City : FLORENCE
State : AL
Zip : 35630-1283
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 115 FAIRGROUND RD
Second Line :
City : FLORENCE
State : AL
Zip : 35630-1283
Country : US
Telephone Number : 256-712-2822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ MARY CAROLINE PEEDEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.