MEDICARE: HOLLY ZAGER 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
1	1041C0700X	Clinical Social Worker	I.0900113	OH

General Provider Information

NPI Number	:	1881354801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY ZAGER LISW

Provider Business Mailing Address
First Line	:	9810 RAVENNA RD STE 2
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1761
Country	:	US
Telephone Number	:	330-331-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	9810 RAVENNA RD STE 2
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1761
Country	:	US
Telephone Number	:	330-331-2188
Fax Number	:	330-331-2188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2021
Last Update Date	:	12/20/2021

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Directions to “ HOLLY ZAGER LISW” Practice Location

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