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Individual
MRS. MELISSA J PAVLICEK
Active
Individual
MRS. MELISSA J PAVLICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106721
NY
1041C0700X
Clinical Social Worker
Primary
093066
NY
1041C0700X
Clinical Social Worker
106721
NY
1041C0700X
Clinical Social Worker
4479
ND
Other
Enumeration date
01/12/2015
Last updated
05/16/2022
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