Individual
MRS. MELANIE BETH JETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
789 STEVENS RD., SWANSEA, MA 02777
(508) 672-6560
(508) 672-6595
Mailing address
789 STEVENS RD., SWANSEA, MA 02777
(508) 672-6560
(508) 672-6595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC429
RI
104100000X
Social Worker
Primary
PC429
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
RI
Enumeration date
10/25/2007
Last updated
01/27/2012
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