Individual
MELISSA ANN FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 PEARL RD, MEDINA, OH 44256-7623
(330) 741-0704
Mailing address
2609 PEARL RD, MEDINA, OH 44256-7623
(330) 741-0704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
01/10/2023
Last updated
01/26/2024
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