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NPI Code Detail

MEDICARE: DR. DEBORAH DAWSON PHD LISW

MEDICARE:  DR. DEBORAH  DAWSON  PHD 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
1104100000XSocial WorkerI0004448OH

General Provider Information

NPI Number : 1235110917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH DAWSON PHD LISW
Provider Business Mailing Address
First Line : PO BOX 24242
Second Line :
City : CLEVELAND
State : OH
Zip : 44124-0242
Country : US
Telephone Number : 216-839-2273
Fax Number : 216-839-2273
Provider Business Practice Location Address
First Line : 9172 BYRON AVE
Second Line :
City : SURFSIDE
State : FL
Zip : 33154-3137
Country : US
Telephone Number : 216-469-2857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 01/31/2020

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Directions to “ DR. DEBORAH DAWSON PHD LISW” Practice Location

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