Provider Information for 1043980683
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ANNEMARIE COLOSIMO LISW-S
Sex: Female
NPI: 1043980683
Last Updated: 2021-09-15
Certification Date: 2021-09-15
Certification Date: 2021-09-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043980683 | ||||||||
| Enumeration Date | 2021-09-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6471 BRECKSVILLE RD INDEPENDENCE, OH 44131-3419 United States Phone: 216-533-9132 | Fax: | ||||||||
| Primary Practice Address | 6471 BRECKSVILLE RD INDEPENDENCE, OH 44131-3419 United States Phone: 216-533-9132 | Fax: | ||||||||
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