MEDICARE: PHUONGLOAN VO

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
1	1041C0700X	Clinical Social Worker	I. 1200990	OH

General Provider Information

NPI Number	:	1285066043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHUONGLOAN VO

Provider Business Mailing Address
First Line	:	2200 VICTORY PARKWAY
Second Line	:	SUITE
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2837
Country	:	US
Telephone Number	:	513-319-1446
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 VICTORY PARKWAY
Second Line	:	SUITE
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2837
Country	:	US
Telephone Number	:	513-319-1446
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. PHUONGLOAN VO
Credential	:	LISW
Telephone Number	:	513-319-1446

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	08/05/2013

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