MEDICARE: VICTORIA RENEE ZIEGLER BSW

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	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1902554900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA RENEE ZIEGLER BSW

Provider Business Mailing Address
First Line	:	440 MARKET ST
Second Line	:
City	:	NEWPORT
State	:	PA
Zip	:	17074-1129
Country	:	US
Telephone Number	:	717-271-9723
Fax Number	:

Provider Business Practice Location Address
First Line	:	149 E COLLEGE AVE
Second Line	:
City	:	SPRING GROVE
State	:	PA
Zip	:	17362-1295
Country	:	US
Telephone Number	:	717-225-1430
Fax Number	:

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

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	03/17/2022

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