Healthcare Provider Details

I. General information

NPI: 1134575301
Provider Name (Legal Business Name): ARELY LUCINDA ARANJO LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 FREEDOM DRIVE
NAPOLEON OH
43545
US

IV. Provider business mailing address

134 N SHOOP AVE
WAUSEON OH
43567
US

V. Phone/Fax

Practice location:
  • Phone: 419-599-1660
  • Fax: 419-592-8336
Mailing address:
  • Phone: 419-599-1660
  • Fax: 419-592-8336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS 1500906
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: