Individual
MRS. MELANIE DEE BONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6361001025
MI
Other
Enumeration date
09/27/2012
Last updated
11/21/2025
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