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NPI Code Detail

MEDICARE: CHRISTINA M MINOGUCHI LISW-S, MSW

MEDICARE:   CHRISTINA M MINOGUCHI  LISW-S, MSW
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 WorkerI0028045OH

General Provider Information

NPI Number : 1194859736
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA M MINOGUCHI LISW-S, MSW
Provider Business Mailing Address
First Line : 3474 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-4056
Country : US
Telephone Number : 614-604-3475
Fax Number : 206-338-2103
Provider Business Practice Location Address
First Line : 3474 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-4056
Country : US
Telephone Number : 614-604-3475
Fax Number : 206-338-2103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 02/23/2016

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Directions to “ CHRISTINA M MINOGUCHI LISW-S, MSW” Practice Location

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