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Provider Information for 1942624127


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MARY DOWNER LISW


Sex: Female

NPI: 1942624127
Last Updated: 2014-02-10
Certification Date:

Details

NameValue
NPI1942624127
Enumeration Date2014-02-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 31 STONEMILL RD
DAYTON, OH 45409-2526
United States

Phone: 937-285-5294 | Fax:
 
Primary Practice Address 8668 MIAMISBURG SPRINGBORO RD
MIAMISBURG, OH 45342-3493
United States

Phone: 937-865-0011 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041S0200X - Social Worker - SchoolOHI0900227