Individual
DENISE LUISA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 HARRIS AVE, RAEFORD, NC 28376-3112
(910) 336-3554
Mailing address
5321 TORY HILL RD, HOPE MILLS, NC 28348-2609
(910) 988-1680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014084
NC
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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