Individual
MISS MELISSA ANN TELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(503) 939-6836
Mailing address
1601 E FOURTH PLAIN BLVD, V3-SATP, VANCOUVER, WA 98661-3753
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5683
OR
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2008
Last updated
08/05/2013
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