Organization
MELISSA DESSEREAU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SLABODA DESSEREAU LMFT (PSYCHOTHERAPIST)
(267) 222-0851
Entity
Organization
Contact information
Practice address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(267) 222-0851
Mailing address
434 LONGFELLOW RD, WYNCOTE, PA 19095-1913
(267) 222-0851
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000928
PA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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