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NPI Code Detail

MEDICARE: KRISTEN LH BARRY MSW, LISW

MEDICARE: KRISTEN LH BARRY 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 WorkerI.1501395OH

General Provider Information

NPI Number : 1790942399
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN LH BARRY MSW, LISW
Provider Business Mailing Address
First Line : PO BOX 8970
Second Line :
City : TOLEDO
State : OH
Zip : 43623-0970
Country : US
Telephone Number : 419-475-4449
Fax Number :
Provider Business Practice Location Address
First Line : 123 22ND ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-2706
Country : US
Telephone Number : 419-475-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 09/22/2015

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