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NPI Code Detail

MEDICARE: CAMILE PRICE LISW

MEDICARE: CAMILE PRICE 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
11041C0700XClinical Social WorkerI 1502413OH

General Provider Information

NPI Number : 1215380621
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILE PRICE LISW
Provider Business Mailing Address
First Line : 23701 MILES RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5473
Country : US
Telephone Number : 216-763-0800
Fax Number : 216-763-0810
Provider Business Practice Location Address
First Line : 23701 MILES RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5473
Country : US
Telephone Number : 216-763-0800
Fax Number : 216-763-0810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2016
Last Update Date : 07/20/2016

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Directions to “ CAMILE PRICE LISW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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