Individual
TANYA DEMELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 ROBERT ST # 1, WESTPORT, MA 02790-4955
(401) 744-9602
Mailing address
221 ROBERT ST # 1, WESTPORT, MA 02790-4955
(401) 744-9602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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