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NPI Code Detail

MEDICARE: TERESA T CRONE LISW

MEDICARE:   TERESA T CRONE  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
11041C0700XClinical Social WorkerOH

General Provider Information

NPI Number : 1659563724
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA T CRONE LISW
Provider Business Mailing Address
First Line : 4870 HUNT RD
Second Line : APT 102
City : CINCINNATI
State : OH
Zip : 45242-6934
Country : US
Telephone Number : 513-791-5530
Fax Number :
Provider Business Practice Location Address
First Line : 7220 PIPPIN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-4607
Country : US
Telephone Number : 513-729-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 08/13/2007

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Directions to “ TERESA T CRONE LISW” Practice Location

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