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NPI Code Detail

MEDICARE: LAUREN MAGUIRE LSW, MSW

MEDICARE: LAUREN MAGUIRE LSW, MSW
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 WorkerSW139096PA

General Provider Information

NPI Number : 1295482917
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MAGUIRE LSW, MSW
Provider Business Mailing Address
First Line : 2293 VIREO DR
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6453
Country : US
Telephone Number : 570-982-4617
Fax Number :
Provider Business Practice Location Address
First Line : 200 HOMEWOOD AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-4328
Country : US
Telephone Number : 937-733-6783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2022
Last Update Date : 12/02/2024

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Directions to “ LAUREN MAGUIRE LSW, MSW” Practice Location

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