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NPI Code Detail

MEDICARE: SETH NIEDING LISW

MEDICARE:   SETH  NIEDING  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
11041C0700XClinical Social WorkerI0001380OH

General Provider Information

NPI Number : 1265518047
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH NIEDING LISW
Provider Business Mailing Address
First Line : 223 MILLER RD
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-1004
Country : US
Telephone Number : 440-930-2002
Fax Number : 440-930-2085
Provider Business Practice Location Address
First Line : 223 MILLER RD
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-1004
Country : US
Telephone Number : 440-930-2002
Fax Number : 440-930-2085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1538473780 — MRS. LEE ANN STROUSE R.N.
Practice Location Address:
223 MILLER RD
AVON LAKE, OH
44012-1004
Practice Phone: 440-930-2002
Practice Fax:
1497708309 — ELIZABETH MALDONADO PROKAY LPCC
Practice Location Address:
223 MILLER RD
AVON LAKE, OH
44012-1004
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1851499073 — MELANIE J SHMOIS MSSA
Practice Location Address:
223 MILLER RD
AVON LAKE, OH
44012-1004
Practice Phone: 440-930-2002
Practice Fax:
1124104914 — KELLY MULQUEEN LISW
Practice Location Address:
223 MILLER RD
AVON LAKE, OH
44012-1004
Practice Phone: 440-930-2002
Practice Fax: 440-930-2085
1952487712 — DR. SAID N ABOU HAIDAR MD
Practice Location Address:
223 MILLER RD
AVON LAKE, OH
44012-1004
Practice Phone: 440-930-2002
Practice Fax: 440-930-2085
1700962578 — JENNIFER DEAN LPCC
Practice Location Address:
223 MILLER RD
AVON LAKE, OH
44012-1004
Practice Phone: 440-930-2002
Practice Fax: 440-930-2085

Directions to “ SETH NIEDING LISW” Practice Location

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