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NPI Code Detail

MEDICARE: MICHELE CALDWELL GREEN LSW

MEDICARE: MICHELE CALDWELL GREEN LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.0000891OH

General Provider Information

NPI Number : 1124669981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE CALDWELL GREEN LSW
Provider Business Mailing Address
First Line : 90 N SUMMIT ST
Second Line :
City : AKRON
State : OH
Zip : 44308-1951
Country : US
Telephone Number : 234-571-9110
Fax Number : 234-571-9107
Provider Business Practice Location Address
First Line : 90 N SUMMIT ST
Second Line :
City : AKRON
State : OH
Zip : 44308-1951
Country : US
Telephone Number : 234-571-9110
Fax Number : 234-571-9107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2019
Last Update Date : 10/03/2019

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Directions to “ MICHELE CALDWELL GREEN LSW” Practice Location

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