Individual
ANDREA LYNN MELLONAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 AMERICAN LEGION HWY, BOSTON, MA 02131-3908
(617) 469-8505
Mailing address
11 CAROL AVE, APARTMENT 12, BRIGHTON, MA 02135-7547
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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