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NPI Code Detail

MEDICARE: CAITLIN DORIS SWT

MEDICARE: CAITLIN DORIS SWT
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 WorkerS.1700134-TRNEOH

General Provider Information

NPI Number : 1477050581
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN DORIS SWT
Provider Business Mailing Address
First Line : 1865 N RIDGE RD E
Second Line :
City : LORAIN
State : OH
Zip : 44055-3300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1865 N RIDGE RD E
Second Line :
City : LORAIN
State : OH
Zip : 44055-3300
Country : US
Telephone Number : 440-462-1462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2018
Last Update Date : 04/06/2018

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Directions to “ CAITLIN DORIS SWT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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