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NPI Code Detail

MEDICARE: RACHAEL STILES LSW

MEDICARE: RACHAEL STILES 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
1104100000XSocial WorkerS0500619OH

General Provider Information

NPI Number : 1942431192
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL STILES LSW
Provider Business Mailing Address
First Line : 4743 HARVEST LN
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3865
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 22ND ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-2706
Country : US
Telephone Number : 419-241-6191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 08/06/2009

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1356584221 — MISS JENNIFER L. CLYMER MA, PCC
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1922239391 — MRS. EVELYN LOUISE SCHIRA M.S. , LPC
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Directions to “ RACHAEL STILES LSW” Practice Location

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