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NPI Code Detail

MEDICARE: ERIN MICHELLE DEMKOWICZ LISW

MEDICARE: ERIN MICHELLE DEMKOWICZ LISW
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
1104100000XSocial WorkerS1201180OH
21041C0700XClinical Social WorkerI.1451375OH

General Provider Information

NPI Number : 1386995967
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MICHELLE DEMKOWICZ LISW
Provider Business Mailing Address
First Line : 2845 BELL ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1720
Country : US
Telephone Number : 740-454-9766
Fax Number : 740-588-6452
Provider Business Practice Location Address
First Line : 2500 JOHN GLENN HWY
Second Line :
City : CAMBRIDGE
State : OH
Zip : 43725-9028
Country : US
Telephone Number : 740-439-4428
Fax Number : 740-439-3389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2012
Last Update Date : 02/11/2015

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