Individual
MELISSA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36995 MALLARD DR, SELBYVILLE, DE 19975-3223
(215) 534-2629
Mailing address
36995 MALLARD DR, SELBYVILLE, DE 19975-3223
(215) 534-2629
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Q1-0001736
DE
104100000X
Social Worker
SW125884
PA
1041C0700X
Clinical Social Worker
LICSW126804
MA
1041C0700X
Clinical Social Worker
Primary
Q1-0001736
DE
Other
Enumeration date
07/28/2021
Last updated
04/28/2025
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