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NPI Code Detail

MEDICARE: MARLENE DAVIS

MEDICARE: MARLENE DAVIS
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 WorkerS0700891OH

General Provider Information

NPI Number : 1215399951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE DAVIS
Provider Business Mailing Address
First Line : 1941 CARLIN ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-1460
Country : US
Telephone Number : 419-422-8616
Fax Number :
Provider Business Practice Location Address
First Line : 1941 CARLIN ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-1460
Country : US
Telephone Number : 419-422-8616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 03/22/2016

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Directions to “ MARLENE DAVIS ” Practice Location

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