Individual
MELANIE JANE WARM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
298 LICSW
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017129
PREFERRED ONE
MN
01
—
172640
U-CARE
MN
05
—
489285200
—
MN
01
—
6235635
UBH MEDICA
MN
01
—
8H718WA
BLUE CROSS BLUE SHIELD
MN
01
—
HP19045
HEALTH PARTNERS
MN
Enumeration date
08/10/2005
Last updated
02/24/2014
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