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NPI Code Detail

MEDICARE: EDWARD JUDSON REED LSW

MEDICARE: EDWARD JUDSON REED LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS29783OH

General Provider Information

NPI Number : 1073039921
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD JUDSON REED LSW
Provider Business Mailing Address
First Line : 1804 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3602
Country : US
Telephone Number : 216-417-4213
Fax Number :
Provider Business Practice Location Address
First Line : 1804 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3602
Country : US
Telephone Number : 216-417-4213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 08/22/2017

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Directions to “ EDWARD JUDSON REED LSW” Practice Location

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