Individual
DANA MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
38 TAYLOR AVE STE 1, MANASQUAN, NJ 08736-3047
(732) 612-8635
Mailing address
26 VENUS RD, SOUTH AMBOY, NJ 08879-2423
(732) 425-7281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06946800
NJ
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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