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NPI Code Detail

MEDICARE: MAEVE DILLON LSW

MEDICARE: MAEVE DILLON 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.171107OH

General Provider Information

NPI Number : 1851817712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAEVE DILLON LSW
Provider Business Mailing Address
First Line : 885 COMMERCE DR
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5267
Country : US
Telephone Number : 419-330-1060
Fax Number :
Provider Business Practice Location Address
First Line : 5164 MONROE ST
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3471
Country : US
Telephone Number : 419-720-9586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 08/22/2017

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