Individual
GREGORY MELEANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5924
(781) 395-0547
Mailing address
18 CONVERSE AVE, MALDEN, MA 02148-7508
(781) 397-0654
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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