Basic Information
Provider Information
NPI: 1497796650
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZORNDORF
FirstName: MAUREEN
MiddleName: R.
NamePrefix: MS.
NameSuffix:  
Credential: M.S.W., L.I.S.W.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 197 W SOUTH ST
Address2:  
City: WORTHINGTON
State: OH
PostalCode: 430853504
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: DUBLIN COUNSELING CENTER
Address2: 299 CRAMER CREEK COURT
City: DUBLIN
State: OH
PostalCode: 430172586
CountryCode: US
TelephoneNumber: 6148895722
FaxNumber: 6148899335
Other Information
ProviderEnumerationDate: 06/09/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XI-0004760OHY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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