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General NPI Number Information
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NPI Number | 1083963441
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Entity Type | Individual
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Provider Name | RENEE LEBER LISW-S
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 66 CENTER ST STE A
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City | BERLIN HEIGHTS
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State | OH
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Zip | 44814-9603
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Country | US
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Telephone | 419-515-6865
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Fax | 419-938-1077
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | BERLIN HEIGHTS
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State | OH
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Zip | 44814-0145
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Country | US
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Telephone | 419-515-6865
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Fax | 419-938-1077
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1200037-SUPV
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License Number State | OH
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