MEDICARE: MRS. MIRIAM P WARSHAUER 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
1	101YM0800X	Mental Health Counselor	I-1069	OH

General Provider Information

NPI Number	:	1659442390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MIRIAM P WARSHAUER LISW

Provider Business Mailing Address
First Line	:	2444 MADISON RD
Second Line	:	109
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1256
Country	:	US
Telephone Number	:	513-924-0021
Fax Number	:	513-924-9001

Provider Business Practice Location Address
First Line	:	2444 MADISON RD
Second Line	:	109
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1256
Country	:	US
Telephone Number	:	513-924-0021
Fax Number	:	513-924-9001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	12/12/2007

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