Individual
MELISSA REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 PALOMBA DR, ENFIELD, CT 06082-3868
(860) 253-5020
(860) 253-5030
Mailing address
24 SMITH ST, SOUTH HADLEY, MA 01075-2822
(413) 454-4914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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