Individual
MS. MELANIE ROSE RISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
625 N MAPLE AVE STE 2, HO HO KUS, NJ 07423-1590
(551) 264-1014
Mailing address
11 WHITE OAK TER, CAMPBELL HALL, NY 10916-2113
(551) 689-8440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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