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NPI Code Detail

MEDICARE: ANNE KAMER LISW-S

MEDICARE: ANNE KAMER LISW-S
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.0007324-SUPVOH

General Provider Information

NPI Number : 1093263212
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE KAMER LISW-S
Provider Business Mailing Address
First Line : 8787 BROOKPARK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-6809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8787 BROOKPARK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 216-739-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2016
Last Update Date : 09/16/2016

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Directions to “ ANNE KAMER LISW-S” Practice Location

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