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NPI Code Detail

MEDICARE: MS. DEBORAH KAY CASSINADRI LISW

MEDICARE: MS. DEBORAH KAY CASSINADRI 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 Worker18646OH

General Provider Information

NPI Number : 1154440733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH KAY CASSINADRI LISW
Provider Business Mailing Address
First Line : 3066 SADDLEBACK DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-3821
Country : US
Telephone Number : 513-233-3131
Fax Number :
Provider Business Practice Location Address
First Line : 116 N HIGH ST
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-9158
Country : US
Telephone Number : 937-444-6127
Fax Number : 937-444-6192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 09/30/2016

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