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Individual

MELISSA A DUNHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 UNION ST, ROCKLAND, ME 04841-2739
(207) 701-4477
(207) 701-4486
Mailing address
25 BOYLE RD, FREEPORT, ME 04032-5842
(207) 272-5079

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9964
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420630099
ME
Enumeration date
07/14/2009
Last updated
06/27/2022
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