Individual
MELISSA MARIE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 GATEWAY MALL, SUITE 326, LINCOLN, NE 68505-2489
(402) 875-1168
Mailing address
210 GATEWAY MALL, SUITE 326, LINCOLN, NE 68505-2489
(402) 875-1168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9044
NE
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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