Individual
KIA FIARA MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
27 AVENUE C, LODI, NJ 07644-1815
(917) 557-5164
Mailing address
27 AVENUE C, LODI, NJ 07644-1815
(917) 557-5164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105106
NY
Other
Enumeration date
05/22/2008
Last updated
03/22/2021
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