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Individual

MS. BRENDA A MELVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
306 WEST BROAD ST, ELIZABETHTOWN, NC 28337
(910) 862-4151
(910) 862-3470
Mailing address
PO BOX 1894, ELIZABETHTOWN, NC 28337
(910) 862-4151
(910) 862-3470

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001256
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6002222
NC
Enumeration date
01/18/2006
Last updated
07/08/2007
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