Individual
MIRANDA BETH MELQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
11924 ARBUCKLE RD, UNION CITY, PA 16438-8807
(814) 460-8135
Mailing address
11924 ARBUCKLE RD, UNION CITY, PA 16438-8807
(814) 460-8135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131961
PA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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