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NPI Code Detail

MEDICARE: ANNA SPROWLS LISW

MEDICARE: ANNA SPROWLS 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 Worker5.2004893OH
2104100000XSocial WorkerI.2304938OH

General Provider Information

NPI Number : 1518582931
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA SPROWLS LISW
Provider Business Mailing Address
First Line : 2148 EAGLE PASS STE H
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5357
Country : US
Telephone Number : 330-345-8970
Fax Number :
Provider Business Practice Location Address
First Line : 2148 EAGLE PASS STE H
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5357
Country : US
Telephone Number : 330-345-8970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2020
Last Update Date : 11/02/2023

Similar Medicare Providers

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1275262776 — SHELLY LYNN TOLEWITZ LSW
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44691-5357
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Directions to “ ANNA SPROWLS LISW” Practice Location

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