Organization
DEPARTMENT OF VETERAN'S AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN COONEY LISW-S (SOCIAL WORK SUPERVISOR)
(419) 625-7350
Entity
Organization
Contact information
Practice address
15655 STATE ROUTE 170 SUITE A, CALCUTTA/EAST LIVERPOOL CBOC VA OUTPATIENT CLINIC, CALCUTTA, OH 43920
(330) 386-4303
(330) 386-6020
Mailing address
15655 STATE ROUTE 170 SUITE A, CALCUTTA/EAST LIVERPOOL CBOC VA OUTPATIENT CLINIC, CALCUTTA, OH 43920
(330) 386-4303
(330) 386-6020
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
7493
TN
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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