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NPI Code Detail

MEDICARE: SUSAN ARNOLD LISW

MEDICARE: SUSAN ARNOLD 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 Worker0009216OH

General Provider Information

NPI Number : 1154454619
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ARNOLD LISW
Provider Business Mailing Address
First Line : 6100 CRITTENDEN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-3907
Country : US
Telephone Number : 513-231-6397
Fax Number :
Provider Business Practice Location Address
First Line : 7220 PIPPIN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-4607
Country : US
Telephone Number : 513-729-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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Directions to “ SUSAN ARNOLD LISW” Practice Location

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