Individual
MELLICENT FAE HINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5219 N SHIRLEY ST STE 100, RUSTON, WA 98407-6599
(253) 434-4220
Mailing address
5219 N SHIRLEY ST STE 100, RUSTON, WA 98407-6599
(253) 434-4220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61396536
WA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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