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NPI Code Detail

MEDICARE: GWENDOLYN A PETERS LSW

MEDICARE: GWENDOLYN A PETERS 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.2513247OH

General Provider Information

NPI Number : 1669331443
Entity Type Code : Individual
Provider Name (Legal Business Name) : GWENDOLYN A PETERS LSW
Provider Business Mailing Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1395
Country : US
Telephone Number : 513-751-7747
Fax Number :
Provider Business Practice Location Address
First Line : 2602 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1711
Country : US
Telephone Number : 513-751-7747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ GWENDOLYN A PETERS LSW” Practice Location

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