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Individual
MS. MELODY STILES
Active
Individual
MS. MELODY STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, MAC, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00178
IN
1041C0700X
Clinical Social Worker
104907
CA
1041C0700X
Clinical Social Worker
Primary
34003930A
IN
Other
Enumeration date
07/05/2006
Last updated
08/03/2023
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