Individual
MARIA MELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
51 GOVERNOR WINTHROP RD, SOMERVILLE, MA 02145-1005
(617) 623-0612
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111055
MA
Other
Enumeration date
05/22/2007
Last updated
12/05/2008
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