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NPI Code Detail

MEDICARE: MICHELLE FURBEE LISWS

MEDICARE: MICHELLE FURBEE LISWS
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 WorkerI.0700220-SUPVOH

General Provider Information

NPI Number : 1659508158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE FURBEE LISWS
Provider Business Mailing Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-4128
Country : US
Telephone Number : 330-673-1347
Fax Number : 330-678-3677
Provider Business Practice Location Address
First Line : 3922 LOVERS LN
Second Line :
City : RAVENNA
State : OH
Zip : 44266-4200
Country : US
Telephone Number : 330-673-1347
Fax Number : 330-678-3677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2009
Last Update Date : 06/11/2009

Similar Medicare Providers

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1962615534 — PAUL SCHOENBERG LPCC
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1689889156 — JAKE PROTIVNAK PC
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1184850323 — JILL L. DICKIE LISW-SUPV
Practice Location Address:
3922 LOVERS LN
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Practice Fax: 330-678-3677

Directions to “ MICHELLE FURBEE LISWS” Practice Location

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