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Individual
MR. CHRISTOPHER MICHAEL MELLOWAY
Active
Individual
MR. CHRISTOPHER MICHAEL MELLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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