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NPI Code Detail

MEDICARE: MRS. SHANNON HAMPTON LISW

MEDICARE: MRS. SHANNON HAMPTON 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.1800972OH

General Provider Information

NPI Number : 1215493754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON HAMPTON LISW
Provider Business Mailing Address
First Line : 909 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 909 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1105
Country : US
Telephone Number : 513-977-6811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2019
Last Update Date : 02/20/2019

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Directions to “ MRS. SHANNON HAMPTON LISW” Practice Location

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