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NPI Code Detail

MEDICARE: MRS. RACHEL MARIE LIEURANCE MSW, LSW

MEDICARE: MRS. RACHEL MARIE LIEURANCE 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
1104100000XSocial WorkerSW141753PA

General Provider Information

NPI Number : 1467298679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL MARIE LIEURANCE MSW, LSW
Provider Business Mailing Address
First Line : 3319 BROWNSVILLE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15227-2722
Country : US
Telephone Number : 412-882-8471
Fax Number :
Provider Business Practice Location Address
First Line : 71 DUTILH RD
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-4101
Country : US
Telephone Number : 412-882-8471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2024
Last Update Date : 07/08/2024

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