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Individual

MRS. MELANIE RENEE ROSERIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
194 MISSILE AVENUE, MINOT AFB - 5 MDG MENTAL HEALTH CLINIC, MINOT, ND 58705
(701) 723-5527
Mailing address
194 MISSILE AVENUE, MINOT AFB, ND 58704
(701) 723-5527

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16695
MD

Other

Enumeration date
12/15/2009
Last updated
07/16/2020
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