Individual
MELISSA WAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
100 PINEWILD DR, SUITE 2A, ROCHESTER, NY 14606-4200
(585) 368-6711
Mailing address
100 PINEWILD DR, SUITE 2A, ROCHESTER, NY 14606-4200
(585) 368-6711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P00748
NY
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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