Individual
MS. ANITA M EDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
19910 MALVERN RD, SHAKER HEIGHTS, OH 44122-2823
(216) 991-4472
Mailing address
1250 YELLOWSTONE RD, CLEVELAND HEIGHTS, OH 44121-1509
(216) 691-9444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I8467
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361510
BCBS NUMBER
OH
Enumeration date
05/08/2007
Last updated
07/08/2007
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