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Individual
MARK ANTONIO MELVIN
Active
Individual
MARK ANTONIO MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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