Most Relevant Information
Provider Data
| NPI Number: | 1003194903 |
| Provider Name: | MELISSA MARIE HEIDEMANN LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I.1100197 |
Most Important Dates
| Enumeration Date: | 07/26/2011 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
8445 MUNSON RD
MENTOR
OH
440602410
Practice Location Phone/Fax
| Phone: | 4402551700 |
| Fax: | 4402052417 |
Provider Mailing Location
1848 THORNWOOD LN
PAINESVILLE
OH
440776151
Provider Mailing Phone/Fax
| Phone: | 4404235933 |
| Fax: |