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Individual
MS. MELANIE K WELLER
Active
Individual
MS. MELANIE K WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001607945
BLUE CROSS BLUE SHIELD
IL
01
—
0007518211
AETNA INSURANCE
IL
Enumeration date
11/16/2006
Last updated
07/08/2007
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