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NPI Code Detail

MEDICARE: MS. CHERYL BURGESS JAMISON LISW-S

MEDICARE: MS. CHERYL BURGESS JAMISON LISW-S
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
11041C0700XClinical Social WorkerI.0003133-SUPVOH

General Provider Information

NPI Number : 1518351550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERYL BURGESS JAMISON LISW-S
Provider Business Mailing Address
First Line : 5500 S MARGINAL RD STE 110
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1009
Country : US
Telephone Number : 216-221-7588
Fax Number :
Provider Business Practice Location Address
First Line : 5500 S MARGINAL RD STE 110
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1009
Country : US
Telephone Number : 216-221-7588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 11/09/2021

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