MEDICARE: MS. JULIE KAY DUNN 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
1	104100000X	Social Worker	S.0700171	OH

General Provider Information

NPI Number	:	1053965897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE KAY DUNN LSW

Provider Business Mailing Address
First Line	:	410 SMITH AVE
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-1849
Country	:	US
Telephone Number	:	567-204-8690
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 HEATHERDOWNS BLVD STE 100
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-4644
Country	:	US
Telephone Number	:	419-351-4206
Fax Number	:	419-861-3720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	07/30/2019

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