Individual
MELANIE LESTER DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 SAINT ANNES DR, HATTIESBURG, MS 39401-8252
(601) 447-4658
Mailing address
77 SAINT ANNES DR, HATTIESBURG, MS 39401-8252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MS
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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