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NPI Code Detail

MEDICARE: MS. MICHELLE T. GINTER LISW

MEDICARE: MS. MICHELLE T. GINTER 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 WorkerS.0500484OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S.0500484OTHEROHLSW

General Provider Information

NPI Number : 1902110471
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE T. GINTER LISW
Provider Business Mailing Address
First Line : 401 E MCMILLAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1922
Country : US
Telephone Number : 513-584-6573
Fax Number :
Provider Business Practice Location Address
First Line : 401 E MCMILLAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1922
Country : US
Telephone Number : 513-584-6573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 04/07/2017

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