Individual
MARY PAT MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9 N MAIN ST, PITTSTON, PA 18640-1836
(570) 654-0788
Mailing address
9 N MAIN ST, PO BOX 315, PITTSTON, PA 18640-1836
(570) 654-0788
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW009917L
PA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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