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NPI Code Detail

MEDICARE: NICHOLE LEE PETERS LSW

MEDICARE: NICHOLE LEE PETERS 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.2513101OH

General Provider Information

NPI Number : 1881105336
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLE LEE PETERS LSW
Provider Business Mailing Address
First Line : 2000 NOBLE DR
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5353
Country : US
Telephone Number : 330-264-3232
Fax Number :
Provider Business Practice Location Address
First Line : 2000 NOBLE DR
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5353
Country : US
Telephone Number : 330-264-3232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 06/15/2026

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Directions to “ NICHOLE LEE PETERS LSW” Practice Location

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