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Individual
BRYAN MELTON
Active
Individual
BRYAN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16042
SC
1041C0700X
Clinical Social Worker
Primary
18383
SC
Other
Enumeration date
07/05/2023
Last updated
11/04/2025
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