Individual
MS. MELISSA DALE DAVOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
146 WIND CHIME CT, RALEIGH, NC 27615-6433
(919) 389-1878
Mailing address
8508 CLIVEDON DR, RALEIGH, NC 27615-3990
(919) 389-1878
(919) 861-8893
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C003329
NC
1041C0700X
Clinical Social Worker
C003329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002893
—
NC
Enumeration date
08/17/2006
Last updated
08/30/2008
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