Individual
MELINDA JENNIFER MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 STATE ST STE 617, BANGOR, ME 04401-5140
(207) 745-6345
Mailing address
6 STATE ST STE 617, BANGOR, ME 04401-5140
(207) 745-6345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11520
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC11520
LCSW
ME
Enumeration date
04/14/2008
Last updated
07/08/2021
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