Individual
BRIAN RONALD MELANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LICSW
Contact information
Practice address
159B MONTAGUE RD, LEVERETT, MA 01054-9762
(978) 618-0434
Mailing address
159B MONTAGUE RD, LEVERETT, MA 01054-9762
(978) 618-0434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW127225
MA
Other
Enumeration date
07/15/2022
Last updated
09/06/2024
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