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NPI Code Detail

MEDICARE: MR. RON DEAN FREEDMAN LCSW

MEDICARE: MR. RON DEAN FREEDMAN LCSW
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 Worker069422NY

General Provider Information

NPI Number : 1881670826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RON DEAN FREEDMAN LCSW
Provider Business Mailing Address
First Line : 411 OAK ST.
Second Line : STERLING MEDICAL ASSOCIATES ATT: CREDENTIALS
City : CINCINNATI
State : OH
Zip : 45219-2504
Country : US
Telephone Number : 513-984-1800
Fax Number :
Provider Business Practice Location Address
First Line : 411 OAK ST.
Second Line : STERLING MEDICAL ASSOCIATES ATT: CREDENTIALS
City : CINCINNATI
State : OH
Zip : 45219-2504
Country : US
Telephone Number : 513-984-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 04/13/2010

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