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NPI Code Detail

MEDICARE: HALLIE B. DURCHSLAG, LTD

MEDICARE: HALLIE B. DURCHSLAG, LTD
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 Worker

General Provider Information

NPI Number : 1972997559
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALLIE B. DURCHSLAG, LTD
Provider Business Mailing Address
First Line : PO BOX 18481
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44118-0481
Country : US
Telephone Number : 888-808-6625
Fax Number : 888-388-7188
Provider Business Practice Location Address
First Line : 3109 MAYFIELD RD
Second Line : SUITE 204
City : CLEVELAND HTS
State : OH
Zip : 44118-1726
Country : US
Telephone Number : 216-916-2070
Fax Number : 216-795-5750
Authorized Official
Title or Position : OWNER
Name : MS. HALLIE B DURCHSLAG
Credential : LISW-S
Telephone Number : 216-916-2070
Provider Enumeration Date : 03/23/2015
Last Update Date : 03/23/2015

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Directions to “HALLIE B. DURCHSLAG, LTD ” Practice Location

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