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NPI Code Detail

MEDICARE: JOSELIN D LAIB MSW, LSW

MEDICARE: JOSELIN D LAIB MSW, LSW
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
1390200000XStudent in an Organized Health Care Education/Training ProgramS-1600535OH
21041C0700XClinical Social WorkerS1600535OH

General Provider Information

NPI Number : 1346795549
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSELIN D LAIB MSW, LSW
Provider Business Mailing Address
First Line : 8904 BROOKSIDE AVE
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-3139
Country : US
Telephone Number : 513-644-1030
Fax Number : 513-644-1025
Provider Business Practice Location Address
First Line : 8904 BROOKSIDE AVE
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-3139
Country : US
Telephone Number : 513-644-1030
Fax Number : 513-644-1025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2016
Last Update Date : 03/26/2018

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