Individual
BARRY Q MC COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
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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