Individual
BRANDIS LUCILLE MELINICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 MAYFLOWER AVE, DAYTON, OH 45420-2809
(937) 397-7002
Mailing address
2109 MAYFLOWER AVE, DAYTON, OH 45420-2809
(937) 397-7002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2506858-TRNE
OH
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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