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NPI Code Detail

MEDICARE: JOAN MASER LISW

MEDICARE: JOAN MASER LISW
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.0003057-SUPVOH

General Provider Information

NPI Number : 1972224715
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN MASER LISW
Provider Business Mailing Address
First Line : 6575 ASHTON LN
Second Line :
City : SOLON
State : OH
Zip : 44139-3213
Country : US
Telephone Number : 440-668-8564
Fax Number :
Provider Business Practice Location Address
First Line : 6575 ASHTON LN
Second Line :
City : SOLON
State : OH
Zip : 44139-3213
Country : US
Telephone Number : 440-668-8564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2022
Last Update Date : 09/09/2022

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Directions to “ JOAN MASER LISW” Practice Location

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