Individual
MELANIE GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
PO BOX 141213, AUSTIN, TX 78714-1213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
CT
1041C0700X
Clinical Social Worker
Primary
—
MA
1041C0700X
Clinical Social Worker
—
ME
1041C0700X
Clinical Social Worker
—
TN
1041C0700X
Clinical Social Worker
—
TX
Other
Enumeration date
12/20/2018
Last updated
04/07/2026
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