Mary Bailie-Keiter Macqueen | Memphis, TN • PECOS Search

Mary Bailie-Keiter Macqueen

Social Worker

Behavioral Health & Social Service Providers

1030 Jefferson Ave, Memphis, TN 38104-2127

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Bailie-Keiter Macqueen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1225353378
Provider Type
Individual
Full Name
Macqueen, Mary Bailie-Keiter
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/1/2010
Last Updated
4/1/2010

Contact Information

Practice Location

1030 Jefferson Ave, Memphis, TN 38104-2127

(901) 577-7427

Mailing Location

1030 Jefferson Ave, Memphis, TN 38104-2127

(901) 577-7427

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 4317 Tennessee