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NPI Code Detail

MEDICARE: MELISSA ELLEN SUGAR MSW

MEDICARE:   MELISSA ELLEN SUGAR  MSW
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 Worker

General Provider Information

NPI Number : 1780839712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ELLEN SUGAR MSW
Provider Business Mailing Address
First Line : 729 REMINGTON ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3332
Country : US
Telephone Number : 970-484-8427
Fax Number : 970-482-8713
Provider Business Practice Location Address
First Line : 729 REMINGTON ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3332
Country : US
Telephone Number : 970-484-8427
Fax Number : 970-482-8713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2008
Last Update Date : 11/18/2008

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Directions to “ MELISSA ELLEN SUGAR MSW” Practice Location

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