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NPI Code Detail

MEDICARE: ALISA A MURRAY LSW

MEDICARE: ALISA A MURRAY 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 WorkerS.1904541OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235436213
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISA A MURRAY LSW
Provider Business Mailing Address
First Line : 4164 HARWOOD RD
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-2739
Country : US
Telephone Number : 216-394-9563
Fax Number :
Provider Business Practice Location Address
First Line : 25701 N LAKELAND BLVD STE 403
Second Line :
City : EUCLID
State : OH
Zip : 44132-2453
Country : US
Telephone Number : 216-273-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2011
Last Update Date : 11/01/2022

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Directions to “ ALISA A MURRAY LSW” Practice Location

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