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Individual

MS. MELANIE LOUCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
5511 STAPLES MILL RD STE 201, RICHMOND, VA 23228-5445
(804) 502-1928
Mailing address
3406 MEADOWBRIDGE RD, RICHMOND, VA 23222-2833
(804) 502-1928

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/14/2020
Last updated
07/14/2020
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