Mary Gubbe Lee is a Clinical in Rockford, Illinois. Mary Gubbe Lee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Gubbe Lee is 1295815173. The last update date is 2007-07-08.
Mary Gubbe Lee's current location address is 526 W State Street, Rockford, Illinois. You can contact this provider via phone number 8159689300 and fax number 8159685314. The mailing address for Mary Gubbe Lee is 526 W State Street, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Gubbe Lee |
|---|---|
| Address | 526 W State Street, Rockford, Illinois |
| Phone Number | 8159689300 |
| Fax Number | 8159685314 |
| Sole Proprietor | N |
| Credentials | LSW |
NPI Number Detail
| NPI Number | 1295815173 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 526 W State Street |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611011214 |
| Phone Number | 8159689300 |
| Fax Number | 8159685314 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Mary Gubbe Lee's unique identification number?
The Mary Gubbe Lee has been assigned the NPI (National Provider Identifier) Number 1295815173 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mary Gubbe Lee located?
The Mary Gubbe Lee is located at 526 W State Street, Rockford, IL 611011214.
What is Mary Gubbe Lee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Gubbe Lee is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Mary Gubbe Lee receive its 1295815173 assignment from the Centers for Medicare & Medicaid Services?
The Mary Gubbe Lee was assigned its 1295815173 by the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date were the details related to Mary Gubbe Lee most recently updated or revised?
The information pertaining to Mary Gubbe Lee, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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