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NPI Code Detail

MEDICARE: DEBORAH HITCHCOCK LISW-S

MEDICARE: DEBORAH HITCHCOCK 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.0008891-SUPVOH

General Provider Information

NPI Number : 1134471717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH HITCHCOCK LISW-S
Provider Business Mailing Address
First Line : 23798 ROYALTON RD
Second Line :
City : COLUMBIA STATION
State : OH
Zip : 44028-9040
Country : US
Telephone Number : 440-390-8843
Fax Number :
Provider Business Practice Location Address
First Line : 2050 W 32ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-4018
Country : US
Telephone Number : 216-651-5982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2012
Last Update Date : 10/19/2022

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Directions to “ DEBORAH HITCHCOCK LISW-S” Practice Location

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