Individual
MS. MELANIE LOUISE MAILLOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6020 W MAPLE RD STE 501, WEST BLOOMFIELD, MI 48322-4409
(248) 470-7967
(248) 764-5820
Mailing address
7003 DACOSTA ST, DEARBORN HEIGHTS, MI 48127-2535
(313) 485-0666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013962
MI
Other
Enumeration date
09/07/2012
Last updated
01/30/2019
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