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NPI Code Detail

MEDICARE: DENISE F CROUCH LISW

MEDICARE: DENISE F CROUCH LISW
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 WorkerI0003423OH

General Provider Information

NPI Number : 1144297920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE F CROUCH LISW
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line : ML 5021
City : CINCINNATI
State : OH
Zip : 45229
Country : US
Telephone Number : 513-636-5013
Fax Number : 513-636-2511
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line : ML 3014
City : CINCINNATI
State : OH
Zip : 45229
Country : US
Telephone Number : 513-636-4788
Fax Number : 513-636-4283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 08/15/2014

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Directions to “ DENISE F CROUCH LISW” Practice Location

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