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NPI Code Detail

MEDICARE: RACHAEL E OYER LISWS

MEDICARE: RACHAEL E OYER LISWS
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
1101Y00000XCounselor
21041C0700XClinical Social WorkerI.1700010OH
31041C0700XClinical Social WorkerI.1700010-SUPVOH

General Provider Information

NPI Number : 1306093307
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL E OYER LISWS
Provider Business Mailing Address
First Line : 2587 BACK ORRVILLE RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-9523
Country : US
Telephone Number : 330-264-9597
Fax Number : 330-264-0946
Provider Business Practice Location Address
First Line : 2587 BACK ORRVILLE RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-9523
Country : US
Telephone Number : 330-264-9597
Fax Number : 330-264-0946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2008
Last Update Date : 10/17/2018

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Directions to “ RACHAEL E OYER LISWS” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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