Individual
MELISSA LYNNE ROLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5121 27TH AVE S, GULFPORT, FL 33707-5413
(912) 323-7694
Mailing address
PO BOX 5121, SAINT PETERSBURG, FL 33737-5121
(912) 323-7694
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC003584
GA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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