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NPI Code Detail

MEDICARE: MAGEN RENEE DAILEY SWA

MEDICARE: MAGEN RENEE DAILEY SWA
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.170230OH
2251B00000XCase Management Agency
3101YM0800XMental Health Counselor
4104100000XSocial WorkerW.2400438OH

General Provider Information

NPI Number : 1346738200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGEN RENEE DAILEY SWA
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 513-834-7063
Fax Number :
Provider Business Practice Location Address
First Line : 8977 COLUMBIA RD STE A
Second Line :
City : LOVELAND
State : OH
Zip : 45140-1100
Country : US
Telephone Number : 513-409-3635
Fax Number : 513-402-0408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2018
Last Update Date : 06/05/2026

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Directions to “ MAGEN RENEE DAILEY SWA” Practice Location

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