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NPI Code Detail

MEDICARE: VALERIE LYNN WEBER MSW, LISW

MEDICARE: VALERIE LYNN WEBER MSW, 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 WorkerI0007060OH

General Provider Information

NPI Number : 1013263516
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE LYNN WEBER MSW, LISW
Provider Business Mailing Address
First Line : 38882 MENTOR AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-7875
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4726 MAIN AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-6929
Country : US
Telephone Number : 440-992-8552
Fax Number : 440-992-6631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 03/15/2017

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