Individual
MELISSA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1140 GREENBRIAR DR, VASS, NC 28394-9198
(443) 306-5362
Mailing address
1140 GREENBRIAR DR, VASS, NC 28394-9198
(443) 306-5362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
P019753
NC
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
10/12/2023
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