Individual
MELISSA ELIZABETH ST LEDGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, EDS
Contact information
Practice address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
(570) 586-6633
Mailing address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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