Individual
MARY JO MELLONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW,MSW
Contact information
Practice address
139 PLEASANT ST, TEWKSBURY, MA 01876-2725
(978) 640-4080
Mailing address
70 MAUREEN DR, TEWKSBURY, MA 01876-3621
(978) 851-5834
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
105312
MA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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