Individual
PATRICE A. MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
150 MAIN ST, PAWTUCKET, RI 02860-4130
(404) 727-2200
Mailing address
100 PARK PL, APT 303, PAWTUCKET, RI 02860-4041
(401) 644-4213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP000464
RI
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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