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NPI Code Detail

MEDICARE: MRS. DANA MICHELLE HARLEY MSW, LISW-S

MEDICARE: MRS. DANA MICHELLE HARLEY MSW, 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 WorkerI.0600107-SOH

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 : 1790932945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA MICHELLE HARLEY MSW, LISW-S
Provider Business Mailing Address
First Line : 2651 OBSERVATORY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2040
Country : US
Telephone Number : 513-533-4999
Fax Number : 513-533-4555
Provider Business Practice Location Address
First Line : 2651 OBSERVATORY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2040
Country : US
Telephone Number : 513-533-4999
Fax Number : 513-533-4555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 05/01/2015

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