Individual
MELANIE MICHELLE PIERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 18TH AVE N, JAX BCH, FL 32250-3756
(727) 741-3405
(904) 306-7826
Mailing address
107 E TEAGUE BAY DR, SAINT AUGUSTINE, FL 32092-3096
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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