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Individual
MELISSA BEAGLE
Active
Individual
MELISSA BEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
100962
NY
1041C0700X
Clinical Social Worker
Primary
091370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06851821
—
NY
Enumeration date
09/14/2017
Last updated
02/02/2022
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