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Provider Information for 1922147677


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JOSEPHINE SHELTON-TOWNES LISW,SAP


Sex: Female

NPI: 1922147677
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1922147677
Enumeration Date2007-02-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 23306 FERNWOOD DR
BEACHWOOD, OH 44122-1514
United States

Phone: 216-831-2011 | Fax:216-831-2011
 
Primary Practice Address 20620 N PARK BLVD
SUITE 201
SHAKER HEIGHTS, OH 44118-4519
United States

Phone: 216-374-7836 | Fax:216-831-2011
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalOHI 0004753