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NPI Code Detail

MEDICARE: JANNA LEEPER LISW-S

MEDICARE: JANNA LEEPER LISW-S
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 WorkerI0800338.SUPVOH

General Provider Information

NPI Number : 1487895199
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANNA LEEPER LISW-S
Provider Business Mailing Address
First Line : 659 BOULEVARD ST
Second Line :
City : DOVER
State : OH
Zip : 44622-2026
Country : US
Telephone Number : 330-602-0770
Fax Number :
Provider Business Practice Location Address
First Line : 1029 W HIGH AVE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2071
Country : US
Telephone Number : 330-364-9360
Fax Number : 330-364-9769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2009
Last Update Date : 02/07/2018

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Directions to “ JANNA LEEPER LISW-S” Practice Location

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