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NPI Code Detail

MEDICARE: SARAH RISSLER

MEDICARE: SARAH RISSLER
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 WorkerI.1302661OH

General Provider Information

NPI Number : 1033579669
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RISSLER
Provider Business Mailing Address
First Line : 8668 ARCTURUS DR
Second Line :
City : MONTGOMERY
State : OH
Zip : 45249-3502
Country : US
Telephone Number : 419-957-3190
Fax Number :
Provider Business Practice Location Address
First Line : 3030 W FORK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1944
Country : US
Telephone Number : 513-619-2964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2016
Last Update Date : 02/24/2016

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Directions to “ SARAH RISSLER ” Practice Location

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