Individual
MELANAE SOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
37303 HARVEST AVE, AVON, OH 44011-2803
(440) 847-8505
Mailing address
37303 HARVEST AVE, AVON, OH 44011-2803
(440) 847-8505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.0008336
OH
101Y00000X
Counselor
Primary
S.2005737
OH
Other
Enumeration date
06/03/2022
Last updated
06/06/2022
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