Individual
MISS MELISSA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.M.F.T.
Contact information
Practice address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
(954) 390-7654
Mailing address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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