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NPI Code Detail

MEDICARE: MS. ESTHER VIOLA WITMER LISW

MEDICARE: MS. ESTHER VIOLA WITMER 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
1101YM0800XMental Health CounselorI0005952OH

General Provider Information

NPI Number : 1841359734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ESTHER VIOLA WITMER LISW
Provider Business Mailing Address
First Line : 1600 S MAIN ST
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-1508
Country : US
Telephone Number : 937-599-2766
Fax Number : 937-599-3151
Provider Business Practice Location Address
First Line : 1600 S MAIN ST
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-1508
Country : US
Telephone Number : 937-599-2766
Fax Number : 937-599-3151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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