Individual
MELODY J LOVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2517 MONICA DR, MOUNT VERNON, WA 98273-9421
(425) 319-9481
Mailing address
2517 MONICA DR, MOUNT VERNON, WA 98273-9421
(425) 319-9481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60604563
WA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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