Provider Demographics
NPI:1982102281
Name:MARIC, MILANKA
Entity Type:Individual
Prefix:
First Name:MILANKA
Middle Name:
Last Name:MARIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 SHORELINE DR APT B11
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1285
Mailing Address - Country:US
Mailing Address - Phone:330-245-7835
Mailing Address - Fax:330-678-3677
Practice Address - Street 1:567 E TURKEYFOOT LAKE RD STE A-1
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-4107
Practice Address - Country:US
Practice Address - Phone:330-563-4581
Practice Address - Fax:330-761-2598
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker