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NPI Code Detail

MEDICARE: MARSHA MITCHELL-BLANKS

MEDICARE: MARSHA MITCHELL-BLANKS
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 WorkerS.0000103OH

General Provider Information

NPI Number : 1831727221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA MITCHELL-BLANKS
Provider Business Mailing Address
First Line : 3281 TULLAMORE RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-2979
Country : US
Telephone Number : 216-470-6157
Fax Number :
Provider Business Practice Location Address
First Line : 2728 EUCLID AVE STE 400
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2429
Country : US
Telephone Number : 216-600-5194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 03/31/2020

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Directions to “ MARSHA MITCHELL-BLANKS ” Practice Location

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