Individual
BARRY Q MC COY
Active
Individual
BARRY Q MC COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11668
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098493100
—
MN
01
—
800007256
MEDICARE RAILROAD
MN
Enumeration date
02/02/2006
Last updated
03/30/2011
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