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Individual
PAULA MELANSON
Active
Individual
PAULA MELANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106380
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
768261
TUFTS HEALTH PLAN
MA
01
—
P04246
BLUE CROSS AND BLUE SHIE
MA
Enumeration date
11/02/2005
Last updated
07/25/2017
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