Individual
AMINAH SHAKURAH MELLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3444
Mailing address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078560
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447279658
—
VA
Enumeration date
07/11/2008
Last updated
06/30/2011
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