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NPI Code Detail

MEDICARE: MS. MELANIE ANN WOODS LISW-S

MEDICARE:  MS. MELANIE ANN WOODS  LISW-S
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 WorkerI0009735OH

General Provider Information

NPI Number : 1689834830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELANIE ANN WOODS LISW-S
Provider Business Mailing Address
First Line : 530 S MAIN ST
Second Line :
City : LIMA
State : OH
Zip : 45804-1500
Country : US
Telephone Number : 330-635-6860
Fax Number :
Provider Business Practice Location Address
First Line : 530 S MAIN ST
Second Line :
City : LIMA
State : OH
Zip : 45804-1500
Country : US
Telephone Number : 330-635-6860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2008
Last Update Date : 01/23/2020

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Directions to “ MS. MELANIE ANN WOODS LISW-S” Practice Location

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