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NPI Code Detail

MEDICARE: VICKIE ANN HELLMICH-BOZDECH

MEDICARE: VICKIE ANN HELLMICH-BOZDECH
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.0009916-SUPVOH

General Provider Information

NPI Number : 1982114203
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE ANN HELLMICH-BOZDECH
Provider Business Mailing Address
First Line : 920 MANHATTAN AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-5140
Country : US
Telephone Number : 937-776-1274
Fax Number :
Provider Business Practice Location Address
First Line : 33 W 1ST ST STE 100
Second Line :
City : DAYTON
State : OH
Zip : 45402-1243
Country : US
Telephone Number : 937-293-1945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2017
Last Update Date : 10/02/2017

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Directions to “ VICKIE ANN HELLMICH-BOZDECH ” Practice Location

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