Individual
MS. MARYELLEN MELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 GROUSE LN, PERKINSVILLE, VT 05151-6600
(802) 795-0033
Mailing address
81 GROUSE LN, PERKINSVILLE, VT 05151-6600
(802) 795-0033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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