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NPI Code Detail

MEDICARE: CYNTHIA JOY TEPPER LSW

MEDICARE:   CYNTHIA JOY TEPPER  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
1104100000XSocial WorkerS.1903774OH

General Provider Information

NPI Number : 1558951186
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA JOY TEPPER LSW
Provider Business Mailing Address
First Line : 2574 BISCAYNE BLVD
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-1773
Country : US
Telephone Number : 216-244-1322
Fax Number :
Provider Business Practice Location Address
First Line : 12417 CEDAR RD STE 21
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44106-3157
Country : US
Telephone Number : 216-485-3779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2021
Last Update Date : 01/18/2021

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Directions to “ CYNTHIA JOY TEPPER LSW” Practice Location

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