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NPI Code Detail

MEDICARE: MRS. JULIE ANN KALINA HAMMOND LISW

MEDICARE:  MRS. JULIE ANN KALINA HAMMOND  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 WorkerI9705OH

General Provider Information

NPI Number : 1578768677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ANN KALINA HAMMOND LISW
Provider Business Mailing Address
First Line : 9220 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6412
Country : US
Telephone Number : 440-354-9924
Fax Number : 440-354-5808
Provider Business Practice Location Address
First Line : 9220 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6412
Country : US
Telephone Number : 440-354-9924
Fax Number : 440-354-5808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 02/03/2022

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Directions to “ MRS. JULIE ANN KALINA HAMMOND LISW” Practice Location

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