MEDICARE: MRS. MICHELLE M ABLIN M.S.W., L.C.S.W.

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
1	1041C0700X	Clinical Social Worker	LCSW 4126	AZ

General Provider Information

NPI Number	:	1730159344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE M ABLIN M.S.W., L.C.S.W.

Provider Business Mailing Address
First Line	:	5928 E SANDRA TER
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-9203
Country	:	US
Telephone Number	:	602-788-6003
Fax Number	:

Provider Business Practice Location Address
First Line	:	13430 N SCOTTSDALE RD
Second Line	:	STE 214
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4057
Country	:	US
Telephone Number	:	480-607-6969
Fax Number	:	480-607-6655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	11/30/2007

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