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NPI Code Detail

MEDICARE: CHARLA LEMAN LCSW

MEDICARE: CHARLA LEMAN LCSW
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 Worker34006143AIN

General Provider Information

NPI Number : 1306377304
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLA LEMAN LCSW
Provider Business Mailing Address
First Line : 8011 BASSWOOD PL
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-4752
Country : US
Telephone Number : 740-213-1932
Fax Number :
Provider Business Practice Location Address
First Line : 8011 BASSWOOD PL
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-4752
Country : US
Telephone Number : 740-213-1932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 03/22/2017

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Directions to “ CHARLA LEMAN LCSW” Practice Location

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