Individual
LORENE IZZETTA MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
19 BOOTLAND FARM RD, NEWTON, NH 03858-4019
(339) 368-1386
Mailing address
19 BOOTLAND FARM RD, NEWTON, NH 03858-4019
(339) 368-1386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106253
MA
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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