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NPI Code Detail

MEDICARE: MRS. GAYLE E ROBINSON PCC-S, LSW

MEDICARE: MRS. GAYLE E ROBINSON PCC-S, LSW
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
1101YP2500XProfessional CounselorE0002151OH
2104100000XSocial WorkerS0006220OH

General Provider Information

NPI Number : 1043636806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GAYLE E ROBINSON PCC-S, LSW
Provider Business Mailing Address
First Line : 2272 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1147
Country : US
Telephone Number : 419-255-4050
Fax Number : 419-244-6857
Provider Business Practice Location Address
First Line : 2272 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1147
Country : US
Telephone Number : 419-255-4050
Fax Number : 419-244-6857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 03/17/2014

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Directions to “ MRS. GAYLE E ROBINSON PCC-S, LSW” Practice Location

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