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Individual
MELANIE J PREPETIT
Active
Individual
MELANIE J PREPETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-SUPV
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0010212-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
09/16/2010
Last updated
09/16/2010
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