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Individual
MAUREEN G. MELLON
Active
Individual
MAUREEN G. MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00351000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16597223544
CIGNA
NJ
01
—
1659722544
OPTUM
NJ
01
—
1659722544
OXFORD
—
Enumeration date
06/22/2016
Last updated
07/11/2016
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