Individual
MR. WILLIAM NMI MELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6510 GRAND TETON PLZ, SUITE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Mailing address
6510 GRAND TETON PLZ, SUITE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10540
DEAN HEALTH PLAN
WI
05
—
39286400
—
WI
01
—
W10120
JOHN DEERE HEALTH
WI
Enumeration date
06/05/2006
Last updated
07/08/2007
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