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NPI Code Detail

MEDICARE: MELISSA LOWE LCSW

MEDICARE: MELISSA LOWE LCSW
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
11041C0700XClinical Social Worker14618FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154830024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LOWE LCSW
Provider Business Mailing Address
First Line : 908 HIBISCUS AVE
Second Line :
City : HOLLY HILL
State : FL
Zip : 32117-3418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 JUSTICE LN
Second Line :
City : BUNNELL
State : FL
Zip : 32110-4487
Country : US
Telephone Number : 386-254-1135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2017
Last Update Date : 10/04/2019

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Directions to “ MELISSA LOWE LCSW” Practice Location

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