Individual
REBECCA MELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
Mailing address
16924 LARIMORE AVE, OMAHA, NE 68116-4219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007433
IA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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