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Organization
MELISSA L DEL ROSARIO LLC
Active
Organization
MELISSA L DEL ROSARIO LLC
Active
Other names
Melissa L Del Rosario
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DEL ROSARIO LPC (CHILD AND FAMILY THERAPIST)
(815) 557-4120
Entity
Organization
Contact information
Practice address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(262) 377-2006
Mailing address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(262) 377-2006
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12134724
CAQH
—
Enumeration date
12/16/2018
Last updated
12/16/2018
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