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NPI Code Detail

MEDICARE: JUDITH A WESSELS LISW

MEDICARE: JUDITH A WESSELS 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 WorkerI0007410OH

General Provider Information

NPI Number : 1861699191
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH A WESSELS LISW
Provider Business Mailing Address
First Line : 2697 CLYDE CT
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5911
Country : US
Telephone Number : 513-738-0201
Fax Number :
Provider Business Practice Location Address
First Line : 10921 REED HARTMAN HWY
Second Line : SUITE 133
City : CINCINNATI
State : OH
Zip : 45242-2830
Country : US
Telephone Number : 513-984-9838
Fax Number : 513-984-8075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 12/07/2025

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Directions to “ JUDITH A WESSELS LISW” Practice Location

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