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NPI Code Detail

MEDICARE: ROCHELLE M SURGENER LISW

MEDICARE:   ROCHELLE M SURGENER  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.1800768-SUPVOH

General Provider Information

NPI Number : 1720599970
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE M SURGENER LISW
Provider Business Mailing Address
First Line : 4159 N HOLLAND SYLVANIA RD STE 205
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4801
Country : US
Telephone Number : 419-631-3617
Fax Number :
Provider Business Practice Location Address
First Line : 4159 N HOLLAND SYLVANIA RD STE 205
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4801
Country : US
Telephone Number : 419-631-3617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2017
Last Update Date : 03/26/2024

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Directions to “ ROCHELLE M SURGENER LISW” Practice Location

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