Individual
ALEXANDRIA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 UNION AVE NE APT 3, GRAND RAPIDS, MI 49503-5701
(616) 298-1965
Mailing address
28 UNION AVE NE APT 3, GRAND RAPIDS, MI 49503-5701
(616) 298-1965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098385
MI
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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