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NPI Code Detail

MEDICARE: NAOMI JUNE COLVIN LSW

MEDICARE:   NAOMI JUNE COLVIN  LSW
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 WorkerS.0029901OH

General Provider Information

NPI Number : 1639856693
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI JUNE COLVIN LSW
Provider Business Mailing Address
First Line : 401 N EWING ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3371
Country : US
Telephone Number : 740-687-8256
Fax Number : 740-687-8628
Provider Business Practice Location Address
First Line : 401 N EWING ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3371
Country : US
Telephone Number : 740-687-8256
Fax Number : 740-687-8628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2023
Last Update Date : 06/30/2023

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Directions to “ NAOMI JUNE COLVIN LSW” Practice Location

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