Individual
AMY MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
25 HARRIS DRIVE, TIVERTON, RI 02878
(401) 935-1094
Mailing address
P.O. BOX 864, TIVERTON, RI 02878
(401) 935-1094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02462
RI
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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