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NPI Code Detail

MEDICARE: ANN MARY FRONCZEK

MEDICARE:   ANN MARY FRONCZEK
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) Counselor189030OH

General Provider Information

NPI Number : 1194437939
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARY FRONCZEK
Provider Business Mailing Address
First Line : 5241 MONTGOMERY ROAD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1655
Country : US
Telephone Number : 513-993-5241
Fax Number : 513-586-2768
Provider Business Practice Location Address
First Line : 5241 MONTGOMERY ROAD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1655
Country : US
Telephone Number : 513-993-5241
Fax Number : 513-586-2768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2022
Last Update Date : 09/12/2024

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Directions to “ ANN MARY FRONCZEK ” Practice Location

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