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NPI Code Detail

MEDICARE: MRS. KATHRYN M PITCHFORD LISW

MEDICARE: MRS. KATHRYN M PITCHFORD 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 WorkerI8481OH

General Provider Information

NPI Number : 1982750857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN M PITCHFORD LISW
Provider Business Mailing Address
First Line : 5348 LAMME RD
Second Line :
City : MORAINE
State : OH
Zip : 45439-3215
Country : US
Telephone Number : 937-534-4651
Fax Number : 937-534-4649
Provider Business Practice Location Address
First Line : 5350 LAMME RD
Second Line :
City : MORAINE
State : OH
Zip : 45439-3215
Country : US
Telephone Number : 937-534-4651
Fax Number : 937-534-4669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 04/12/2022

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