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NPI Code Detail

MEDICARE: SHELLY LYNN TOLEWITZ LSW

MEDICARE: SHELLY LYNN TOLEWITZ 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
1101Y00000XCounselorS.2208476OH
2104100000XSocial WorkerS.2208476OH

General Provider Information

NPI Number : 1275262776
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY LYNN TOLEWITZ LSW
Provider Business Mailing Address
First Line : 2148 EAGLE PASS STE H
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5357
Country : US
Telephone Number : 330-345-8970
Fax Number : 330-264-3777
Provider Business Practice Location Address
First Line : 2148 EAGLE PASS STE H
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5357
Country : US
Telephone Number : 330-345-8970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 02/13/2024

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Directions to “ SHELLY LYNN TOLEWITZ LSW” Practice Location

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