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NPI Code Detail

MEDICARE: BARBARA JEAN FELDMAR LISW

MEDICARE: BARBARA JEAN FELDMAR 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 WorkerI2869OH

General Provider Information

NPI Number : 1104033257
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA JEAN FELDMAR LISW
Provider Business Mailing Address
First Line : 276 FOREST ST
Second Line :
City : OBERLIN
State : OH
Zip : 44074-1510
Country : US
Telephone Number : 440-775-3301
Fax Number :
Provider Business Practice Location Address
First Line : 1218 CLEVELAND RD
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4200
Country : US
Telephone Number : 800-686-0088
Fax Number : 419-626-0099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ BARBARA JEAN FELDMAR LISW” Practice Location

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