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NPI Code Detail

MEDICARE: MRS. NORA MONTALVO-CRUMBLEY LISW

MEDICARE: MRS. NORA MONTALVO-CRUMBLEY 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 Worker0003780OH

General Provider Information

NPI Number : 1124221361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NORA MONTALVO-CRUMBLEY LISW
Provider Business Mailing Address
First Line : 1495 MORSE RD
Second Line : STE B3
City : COLUMBUS
State : OH
Zip : 43229-6478
Country : US
Telephone Number : 614-267-7003
Fax Number : 614-267-7013
Provider Business Practice Location Address
First Line : 3025 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-279-7690
Fax Number : 614-279-7695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. NORA MONTALVO-CRUMBLEY LISW” Practice Location

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