Michelle M. Theodore, BA
Case Manager/Care Coordinator in Melbourne, FL. Individual provider (NPI-1).
NPI number1124336151
StatusActive
Last updated in NPPESSep 24, 2010
Details
- NPI
- 1124336151
- Entity type
- Individual (NPI-1)
- Name
- Ms. Michelle M. Theodore
- Credential
- BA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2010
- Last updated
- Sep 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1495 N. Harbor City Blvd.Melbourne, FL 32935-6527
Phone 321-259-8928 · Fax 321-259-6060
Mailing address
1495 N. Harbor City Blvd.Melbourne, FL 32935-6527
Phone 321-259-8928 · Fax 321-259-6060
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All 55 Case Manager/Care Coordinator providers in Melbourne · All 6,122 providers in Melbourne
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