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NPI Code Detail

MEDICARE: MISS RAMONA MCQUIRTER CDCA

MEDICARE: MISS RAMONA MCQUIRTER CDCA
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
1104100000XSocial Worker1300079OH
2171M00000XCase Manager/Care Coordinator
3175T00000XPeer Specialist
4101YA0400XAddiction (Substance Use Disorder) Counselor120514OH

General Provider Information

NPI Number : 1174037303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RAMONA MCQUIRTER CDCA
Provider Business Mailing Address
First Line : PO BOX 8189
Second Line :
City : AKRON
State : OH
Zip : 44320-0189
Country : US
Telephone Number : 330-867-5400
Fax Number : 330-869-8263
Provider Business Practice Location Address
First Line : 1735 S HAWKINS AVE
Second Line :
City : AKRON
State : OH
Zip : 44320-3902
Country : US
Telephone Number : 330-867-5400
Fax Number : 330-869-8263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2017
Last Update Date : 07/01/2019

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Directions to “ MISS RAMONA MCQUIRTER CDCA” Practice Location

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