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Individual
MRS. MELISSA R LEVIN
Active
Individual
MRS. MELISSA R LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
217282
MA
1041C0700X
Clinical Social Worker
Primary
118012
MA
1041S0200X
School Social Worker
118012
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118012
LICSW NUMBER
MA
01
—
217282
LCSW NUMBER
MA
Enumeration date
08/10/2011
Last updated
11/20/2023
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