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NPI Code Detail

MEDICARE: RUTH ANN HALICKS LISW, MA, MSW

MEDICARE: RUTH ANN HALICKS LISW, MA, MSW
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 WorkerI 9977OH

General Provider Information

NPI Number : 1952510877
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH ANN HALICKS LISW, MA, MSW
Provider Business Mailing Address
First Line : 4760 MADISON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1426
Country : US
Telephone Number : 513-321-8286
Fax Number : 513-533-5828
Provider Business Practice Location Address
First Line : 4760 MADISON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1426
Country : US
Telephone Number : 513-321-8286
Fax Number : 513-533-5828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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