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NPI Code Detail

MEDICARE: BONNIE B CRAWFORD MSW, LISW-S

MEDICARE:   BONNIE B CRAWFORD  MSW, LISW-S
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-0004770-SOH

General Provider Information

NPI Number : 1235433954
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE B CRAWFORD MSW, LISW-S
Provider Business Mailing Address
First Line : 1855 SCOTTSDALE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-2536
Country : US
Telephone Number : 513-304-2459
Fax Number :
Provider Business Practice Location Address
First Line : 220 COMPTON RIDGE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-4120
Country : US
Telephone Number : 513-280-1914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 10/24/2016

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Directions to “ BONNIE B CRAWFORD MSW, LISW-S” Practice Location

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