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NPI Code Detail

MEDICARE: ANNE NICOL LSW

MEDICARE: ANNE NICOL LSW
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 WorkerS. 1200851OH

General Provider Information

NPI Number : 1225483886
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE NICOL LSW
Provider Business Mailing Address
First Line : 3042 MCKINLEY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3653
Country : US
Telephone Number : 614-487-7805
Fax Number : 866-314-2350
Provider Business Practice Location Address
First Line : 3042 MCKINLEY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3653
Country : US
Telephone Number : 614-487-7805
Fax Number : 866-314-2350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 05/02/2016

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Directions to “ ANNE NICOL LSW” Practice Location

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