Individual
MS. JACQUELIN ANN MELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
413 W KIOWA ST, COLORADO SPRINGS, CO 80905-1415
(586) 354-0410
Mailing address
413 W KIOWA ST, COLORADO SPRINGS, CO 80905-1415
(586) 354-0410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-564
CO
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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