Individual
BEATRICE ANN MELLUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4550 KEARNY VILLA RD, SUITE 116, SAN DIEGO, CA 92123-1578
(858) 279-1223
Mailing address
3635 CEDARBRAE LN, SAN DIEGO, CA 92106-3255
(619) 223-8001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4504
CA
Other
Enumeration date
10/19/2006
Last updated
04/09/2009
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