Individual
ELLEN MELOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3343 N LEAVITT ST APT 1, CHICAGO, IL 60618-6242
(507) 254-1151
Mailing address
3343 N LEAVITT ST APT 1, CHICAGO, IL 60618-6242
(507) 254-1151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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