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NPI Code Detail

MEDICARE: MS. ANNETTE C DAVLIN L.I.S.W

MEDICARE: MS. ANNETTE C DAVLIN L.I.S.W
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 WorkerI0000848OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1I0000848OTHEROHINDEPENDENT SOCIAL WORKER

General Provider Information

NPI Number : 1952329344
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNETTE C DAVLIN L.I.S.W
Provider Business Mailing Address
First Line : 3777 GLENWOOD RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1605
Country : US
Telephone Number : 216-691-9440
Fax Number :
Provider Business Practice Location Address
First Line : 13201 GRANGER RD STE 8
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-1979
Country : US
Telephone Number : 440-286-1553
Fax Number : 440-286-1318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 10/03/2024

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