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NPI Code Detail

MEDICARE: MRS. DAWN RENEE PRIEST LISW

MEDICARE: MRS. DAWN RENEE PRIEST LISW
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.2002249OH

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 : 1427447325
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN RENEE PRIEST LISW
Provider Business Mailing Address
First Line : 14 MARCIA DR
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-1120
Country : US
Telephone Number : 740-627-0963
Fax Number :
Provider Business Practice Location Address
First Line : 11660 UPPER GILCHRIST RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-9084
Country : US
Telephone Number : 740-399-8008
Fax Number : 740-399-8012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 09/01/2020

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