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Individual
MELISSA DYE
Active
Individual
MELISSA DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008805
VA
1041C0700X
Clinical Social Worker
6094
SD
1041C0700X
Clinical Social Worker
7680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904008805
STATE LICENSE
VA
01
—
6094
STATE LICENSE
SD
01
—
7680
STATE LICENSE
TN
Enumeration date
12/17/2014
Last updated
11/15/2021
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