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NPI Code Detail

MEDICARE: LI'ONNA WAHID SW-T

MEDICARE: LI'ONNA WAHID SW-T
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerS.2613697OH

General Provider Information

NPI Number : 1477310902
Entity Type Code : Individual
Provider Name (Legal Business Name) : LI'ONNA WAHID SW-T
Provider Business Mailing Address
First Line : 150 CROSS ST.
Second Line :
City : AKRON
State : OH
Zip : 44311-1026
Country : US
Telephone Number : 330-996-9141
Fax Number : 330-376-6726
Provider Business Practice Location Address
First Line : 1735 S HAWKINS AVE
Second Line :
City : AKRON
State : OH
Zip : 44320-3902
Country : US
Telephone Number : 330-867-5400
Fax Number : 330-869-8263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2024
Last Update Date : 06/02/2026

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Directions to “ LI'ONNA WAHID SW-T” Practice Location

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