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NPI Code Detail

MEDICARE: MS. BRITTANY DANIELLE PAGE LSW

MEDICARE: MS. BRITTANY DANIELLE PAGE 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.10000832OH

General Provider Information

NPI Number : 1689967176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITTANY DANIELLE PAGE LSW
Provider Business Mailing Address
First Line : 1900 FAIRGROVE AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45011-1966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 FAIRGROVE AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45011-1966
Country : US
Telephone Number : 513-785-1559
Fax Number : 513-868-3249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2011
Last Update Date : 05/17/2011

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Directions to “ MS. BRITTANY DANIELLE PAGE LSW” Practice Location

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