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NPI Code Detail

MEDICARE: MELISSA ANN SILEO MSW, LCSW

MEDICARE:   MELISSA ANN SILEO  MSW, 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 Worker40173TX

General Provider Information

NPI Number : 1316146194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN SILEO MSW, LCSW
Provider Business Mailing Address
First Line : 2003B FORD ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2837
Country : US
Telephone Number : 512-423-8344
Fax Number :
Provider Business Practice Location Address
First Line : 2003B FORD ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2837
Country : US
Telephone Number : 512-423-8344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 07/12/2007

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Directions to “ MELISSA ANN SILEO MSW, LCSW” Practice Location

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