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NPI Code Detail

MEDICARE: LISA MONAGHAN LISW-S LLC

MEDICARE: LISA MONAGHAN LISW-S LLC
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 WorkerI0007598OH

General Provider Information

NPI Number : 1316316268
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISA MONAGHAN LISW-S LLC
Provider Business Mailing Address
First Line : 1055 E CENTERVILLE STATION RD
Second Line :
City : DAYTON
State : OH
Zip : 45459-5500
Country : US
Telephone Number : 937-439-2984
Fax Number : 937-439-2984
Provider Business Practice Location Address
First Line : 1055 E CENTERVILLE STATION RD
Second Line :
City : DAYTON
State : OH
Zip : 45459-5500
Country : US
Telephone Number : 937-439-2984
Fax Number : 937-439-2984
Authorized Official
Title or Position : SOLE MEMBER
Name : LISA MONAGHAN
Credential : LISW-S
Telephone Number : 937-439-2984
Provider Enumeration Date : 09/22/2015
Last Update Date : 10/08/2015

Similar Medicare Providers

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1831527977 — KATHLEEN R ANDERSON LISW-S LLC
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1205208121 — JENNIFER FENSKE-DOYLE MSW LISW-S LLC
Practice Location Address:
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45459-5500
Practice Phone: 937-439-2984
Practice Fax: 937-439-2984

Directions to “LISA MONAGHAN LISW-S LLC ” Practice Location

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