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NPI Code Detail

MEDICARE: MRS. HANNAH HARMS MICKAEL LISW-S

MEDICARE: MRS. HANNAH HARMS MICKAEL 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 WorkerS.1440439OH
21041C0700XClinical Social WorkerI.1600349OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639581242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HANNAH HARMS MICKAEL LISW-S
Provider Business Mailing Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 508 N HAWLEY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4476
Country : US
Telephone Number : 419-841-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2014
Last Update Date : 09/16/2019

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