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NPI Code Detail

MEDICARE: ANDREA CLARY

MEDICARE: ANDREA CLARY
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.1601044OH

General Provider Information

NPI Number : 1649025214
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CLARY
Provider Business Mailing Address
First Line : 17273 STATE ROUTE 104
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-9718
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17273 STATE ROUTE 104
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-9718
Country : US
Telephone Number : 740-412-7306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2024
Last Update Date : 12/03/2025

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45601-9718
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1851359855 — CHILLICOTHE VAMC
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45601-9718
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Directions to “ ANDREA CLARY ” Practice Location

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