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NPI Code Detail

MEDICARE: MRS. KAITLYN A TAMMARO LISW-S

MEDICARE: MRS. KAITLYN A TAMMARO LISW-S
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 WorkerI.2203549-SUPVOH

General Provider Information

NPI Number : 1275052268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAITLYN A TAMMARO LISW-S
Provider Business Mailing Address
First Line : 5955 RIDGE RD
Second Line :
City : PARMA
State : OH
Zip : 44129-3936
Country : US
Telephone Number : 440-332-4604
Fax Number : 440-888-1686
Provider Business Practice Location Address
First Line : 5955 RIDGE RD
Second Line :
City : PARMA
State : OH
Zip : 44129-3936
Country : US
Telephone Number : 440-332-4604
Fax Number : 440-888-1686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 06/21/2024

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Directions to “ MRS. KAITLYN A TAMMARO LISW-S” Practice Location

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