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NPI Code Detail

MEDICARE: MELODY J ARBOUR LSW

MEDICARE: MELODY J ARBOUR 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.1701668MD

General Provider Information

NPI Number : 1700388972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY J ARBOUR LSW
Provider Business Mailing Address
First Line : 26433 SOLON RD APT 412
Second Line :
City : OAKWOOD VILLAGE
State : OH
Zip : 44146-4747
Country : US
Telephone Number : 216-283-4400
Fax Number : 216-283-5359
Provider Business Practice Location Address
First Line : 9500 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-1852
Country : US
Telephone Number : 216-283-4400
Fax Number : 216-283-5359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 03/17/2018

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Directions to “ MELODY J ARBOUR LSW” Practice Location

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