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NPI Code Detail

MEDICARE: JULIE KUNGL LISW

MEDICARE: JULIE KUNGL 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
1104100000XSocial Worker00045725OH

General Provider Information

NPI Number : 1770888984
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE KUNGL LISW
Provider Business Mailing Address
First Line : 4100 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2842
Country : US
Telephone Number : 216-281-2500
Fax Number :
Provider Business Practice Location Address
First Line : 4100 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2842
Country : US
Telephone Number : 216-281-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2011
Last Update Date : 07/21/2011

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Directions to “ JULIE KUNGL LISW” Practice Location

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