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NPI Code Detail

MEDICARE: CORINNE MILENTIJEVIC MSSA/LISW

MEDICARE: CORINNE MILENTIJEVIC MSSA/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
1101YM0800XMental Health CounselorI.0010155OH
21041C0700XClinical Social WorkerS-0021574OH

General Provider Information

NPI Number : 1568440048
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE MILENTIJEVIC MSSA/LISW
Provider Business Mailing Address
First Line : 8577 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44484-2345
Country : US
Telephone Number : 330-856-6663
Fax Number :
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 330-397-6007
Fax Number : 234-254-5655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 02/14/2024

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Directions to “ CORINNE MILENTIJEVIC MSSA/LISW” Practice Location

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