Individual
MELISSA DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1315 12 RD, LOMA, CO 81524-9602
(770) 310-4649
Mailing address
1315 12 RD, LOMA, CO 81524-9602
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925583
CO
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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