Organization
R MELVIN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL R MELVIN LCSW (MEMBER)
(207) 773-2828
Entity
Organization
Contact information
Practice address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 773-2828
(207) 761-8150
Mailing address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 773-2828
(207) 761-8150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4787
ME
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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