W Gordon Fediaczko, LISW | |
12680 Salem Warren Rd, Salem, OH 44460-9668 | |
(330) 337-6527 | |
(330) 337-3099 |
Full Name | W Gordon Fediaczko |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 12680 Salem Warren Rd, Salem, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831100379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-0002866 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
W Gordon Fediaczko, LISW 815 E 5th St, Salem, OH 44460-1742 Ph: (330) 332-0153 | W Gordon Fediaczko, LISW 12680 Salem Warren Rd, Salem, OH 44460-9668 Ph: (330) 337-6527 |
Ms. Jayne Lynn Decort, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12680 Salem Warren Rd, Salem, OH 44460 Phone: 330-337-0088 | |
Daniel V Lewis, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Woodland Ave, Salem, OH 44460 Phone: 330-277-8559 |