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NPI Code Detail

MEDICARE: MS. PAUL;A S MORELAND MSW/LISW-S/QCSW

MEDICARE: MS. PAUL;A S MORELAND MSW/LISW-S/QCSW
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-31058OH

General Provider Information

NPI Number : 1275574857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAUL;A S MORELAND MSW/LISW-S/QCSW
Provider Business Mailing Address
First Line : 1855 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-1135
Country : US
Telephone Number : 614-257-5914
Fax Number : 614-257-5903
Provider Business Practice Location Address
First Line : 65 MESSIMER DR
Second Line :
City : NEWARK
State : OH
Zip : 43055-1874
Country : US
Telephone Number : 740-522-8477
Fax Number : 740-522-2941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/22/2013

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Directions to “ MS. PAUL;A S MORELAND MSW/LISW-S/QCSW” Practice Location

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