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NPI Code Detail

MEDICARE: MS. LINDA L COUSINO LSW,

MEDICARE: MS. LINDA L COUSINO 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
11041C0700XClinical Social WorkerS-0010453OH
2101YP2500XProfessional CounselorE0010453OH
3101YP2500XProfessional Counselor6401009026MI

General Provider Information

NPI Number : 1740489749
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA L COUSINO LSW,
Provider Business Mailing Address
First Line : 4913 HARROUN RD
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2197
Country : US
Telephone Number : 419-870-8763
Fax Number : 419-870-8763
Provider Business Practice Location Address
First Line : 4913 HARROUN RD
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2197
Country : US
Telephone Number : 419-870-8763
Fax Number : 419-870-8763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 11/08/2008

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Directions to “ MS. LINDA L COUSINO LSW,” Practice Location

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