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Individual

MRS. ANGELA MARIE MELLO

Active
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Individual

MRS. ANGELA MARIE MELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, SUDP

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006373
WA
1041C0700X
Clinical Social Worker
Primary
LW60260475
WA

Other

Enumeration date
01/25/2011
Last updated
08/03/2020
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