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NPI Code Detail

MEDICARE: MARSHA L ELLIOTT M.ED

MEDICARE: MARSHA L ELLIOTT M.ED
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 WorkerE3552OH

General Provider Information

NPI Number : 1548258080
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA L ELLIOTT M.ED
Provider Business Mailing Address
First Line : PO BOX 10015
Second Line :
City : TOLEDO
State : OH
Zip : 43699-0015
Country : US
Telephone Number : 419-693-0631
Fax Number :
Provider Business Practice Location Address
First Line : 1425 STARR AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2456
Country : US
Telephone Number : 419-693-0631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 10/16/2007

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Directions to “ MARSHA L ELLIOTT M.ED” Practice Location

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