MEDICARE: CHRISTINA LYNN ARREDONDO SWT

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	1041C0700X	Clinical Social Worker	S.25041	OH

General Provider Information

NPI Number	:	1144729781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LYNN ARREDONDO SWT

Provider Business Mailing Address
First Line	:	841 E MAIN ST STE B
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-3509
Country	:	US
Telephone Number	:	740-804-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	841 E MAIN ST STE B841E
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-3509
Country	:	US
Telephone Number	:	740-851-5307
Fax Number	:

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

Provider Enumeration Date	:	02/09/2018
Last Update Date	:	06/25/2025

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