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NPI Code Detail

MEDICARE: MELANIE SUDIA LCSW

MEDICARE: MELANIE SUDIA LCSW
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 Worker44SC05954700NJ

General Provider Information

NPI Number : 1700595733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE SUDIA LCSW
Provider Business Mailing Address
First Line : 4209 DAIRY CT
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-9122
Country : US
Telephone Number : 732-689-2811
Fax Number :
Provider Business Practice Location Address
First Line : 181 SOUTH ST # B1
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-2164
Country : US
Telephone Number : 732-475-0043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2022
Last Update Date : 11/17/2022

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Directions to “ MELANIE SUDIA LCSW” Practice Location

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