MEDICARE: MRS. MELISSA BENEDETTO DIGMANN LISW

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	006899	IA

General Provider Information

NPI Number	:	1942511092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA BENEDETTO DIGMANN LISW

Provider Business Mailing Address
First Line	:	3370 HIBISCUS LN
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-1716
Country	:	US
Telephone Number	:	319-651-6710
Fax Number	:

Provider Business Practice Location Address
First Line	:	3343 CENTER GROVE DR
Second Line	:	SUITE A
City	:	DUBUQUE
State	:	IA
Zip	:	52003-5264
Country	:	US
Telephone Number	:	319-651-6710
Fax Number	:

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

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	04/24/2017

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