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Individual

MICHELLE MELSON MOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036087784
IL
2084P0800X
Psychiatry Physician
37224
WI
2084P0800X
Psychiatry Physician
Primary
9701488
NC

Other

Enumeration date
03/22/2007
Last updated
06/28/2024
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