Individual
MELISSA MORTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2181 REMINGTON AVE, SPARTA, WI 54656-4024
(804) 413-2661
Mailing address
2181 REMINGTON AVE, SPARTA, WI 54656-4024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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