Individual
MELIA JOY MCCUBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
701 DECATUR AVE N, SUITE 109, GOLDEN VALLEY, MN 55427-4367
(763) 746-2400
Mailing address
701 DECATUR AVE N, SUITE 109, GOLDEN VALLEY, MN 55427-4367
(763) 746-2400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19778
MN
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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