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Individual
MELANIE A BOSCO
Active
Individual
MELANIE A BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPA, LPC, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006860
VA
103TC0700X
Clinical Psychologist
2302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017441080001
—
VA
05
—
6107248
—
NC
Enumeration date
03/06/2007
Last updated
01/17/2024
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