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NPI Code Detail

MEDICARE: JACOB A GARLICK LMSW

MEDICARE: JACOB A GARLICK LMSW
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
11041C0700XClinical Social Worker6801102622MI
2171M00000XCase Manager/Care Coordinator
31041C0700XClinical Social Worker6801107625MI

General Provider Information

NPI Number : 1982194569
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB A GARLICK LMSW
Provider Business Mailing Address
First Line : 2100 HEMMETER RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-3944
Country : US
Telephone Number : 989-799-2100
Fax Number : 989-799-2637
Provider Business Practice Location Address
First Line : 3665 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2445
Country : US
Telephone Number : 989-799-0066
Fax Number : 989-799-6681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2018
Last Update Date : 01/31/2023

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Directions to “ JACOB A GARLICK LMSW” Practice Location

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