Mumby-Graham, Mary G

Mumby-Graham, Mary G is an individual health care provider with primary practice located at 38280 County Road 19 , Fort Collins CO 80524-9039. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mumby-Graham, Mary G can be contacted via phone (970) 686-9015.

Contact Information

Primary practice address
38280 County Road 19 Fort Collins CO 80524-9039
Phone: (970) 686-9015
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 991347 Colorado

Profile Details

NPI number 1396724670
LBN Legal business name Mumby-Graham, Mary G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396724670 NPPES
Colorado MEDICAID 07913478

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