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Individual
MELANIE CALLEN
Active
Individual
MELANIE CALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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