Individual
MOLLY MALONE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CHESTERFIELD AVE, CENTREVILLE, MD 21617-1308
(410) 758-2403
Mailing address
23325 NINETOWN RD, RIDGELY, MD 21660-1322
(410) 490-2468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06958
MD
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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