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Individual
JACQUELINE MELIUS
Active
Individual
JACQUELINE MELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
227284
MA
1041C0700X
Clinical Social Worker
Primary
128019
MA
Other
Enumeration date
01/20/2022
Last updated
11/05/2024
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