Individual
THOMAS MELNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 722-5613
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 722-5613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401003833
MI
104100000X
Social Worker
6802033972
MI
171M00000X
Case Manager/Care Coordinator
Primary
6802033972
MI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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