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Individual
DR. MARY JANE MELVIN
Active
Individual
DR. MARY JANE MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 15328
CA
106H00000X
Marriage & Family Therapist
MFC 23679
CA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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