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NPI Code Detail

MEDICARE: MRS. ANITA LOUISE SCHLITZKUS LCSW

MEDICARE: MRS. ANITA LOUISE SCHLITZKUS LCSW
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 WorkerL3212OR

General Provider Information

NPI Number : 1609862465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANITA LOUISE SCHLITZKUS LCSW
Provider Business Mailing Address
First Line : PO BOX 342
Second Line :
City : LEBANON
State : OR
Zip : 97355-0342
Country : US
Telephone Number : 541-259-5019
Fax Number : 541-259-5022
Provider Business Practice Location Address
First Line : 37490 TENNESSEE SCHOOL DR
Second Line :
City : LEBANON
State : OR
Zip : 97355-9670
Country : US
Telephone Number : 541-259-5019
Fax Number : 541-259-5022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. ANITA LOUISE SCHLITZKUS LCSW” Practice Location

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