Individual
MRS. MELANIE JILL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 HANOVER PARK DR, JACKSONVILLE, FL 32224-8602
(904) 465-1049
(904) 438-5423
Mailing address
4308 HANOVER PARK DR, JACKSONVILLE, FL 32224-8602
(904) 465-1049
(904) 438-5423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766065100
—
FL
05
—
812284900
—
FL
Enumeration date
01/10/2007
Last updated
06/03/2013
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