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Individual

SHANNON MELILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3200 EBENEZER RD, CINCINNATI, OH 45248-4038
(513) 484-3710
Mailing address
3200 EBENEZER RD, CINCINNATI, OH 45248-4038
(513) 484-3710

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0600122
OH
101YP2500X
Professional Counselor
E 0600122
OH

Other

Enumeration date
10/22/2013
Last updated
05/17/2024
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