Individual
MEYLEEN MARJORIE VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11225 19TH AVE SE APT B203, EVERETT, WA 98208-5183
(786) 471-2739
Mailing address
11225 19TH AVE SE APT B203, EVERETT, WA 98208-5183
(786) 471-2739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810652266
810652266
FL
Enumeration date
11/15/2012
Last updated
04/27/2020
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