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NPI Code Detail

MEDICARE: LASHANNA ALFRED MSW, LISW

MEDICARE: LASHANNA ALFRED MSW, 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 WorkerI1302200OH

General Provider Information

NPI Number : 1669889333
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHANNA ALFRED MSW, LISW
Provider Business Mailing Address
First Line : PO BOX 20068
Second Line :
City : TOLEDO
State : OH
Zip : 43610-0068
Country : US
Telephone Number : 419-531-5544
Fax Number :
Provider Business Practice Location Address
First Line : 5301 NEBRASKA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43615-4632
Country : US
Telephone Number : 419-531-5544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2014
Last Update Date : 07/15/2014

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