Organization
JENNIFER MELLO LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN LAWLER (OFF MGR)
(800) 735-8951
Entity
Organization
Contact information
Practice address
147 COURT ST, PLYMOUTH, MA 02360-8724
(508) 591-0569
Mailing address
16 CHILTON ST APT 3, PLYMOUTH, MA 02360-8706
(508) 591-0569
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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