Individual
GAYLE K MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-1022
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-1022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00565
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396864542
NPI KENT HOSPITAL PBO
RI
05
—
PENDING
—
RI
Enumeration date
05/12/2006
Last updated
11/15/2007
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