Individual
MELINDA STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5045 CARPENTER CREEK DR STE 1-N, PENSACOLA, FL 32503-2521
(850) 377-7074
(888) 249-2325
Mailing address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 377-7074
(888) 249-2325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760435100
—
FL
Enumeration date
07/11/2006
Last updated
01/25/2022
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