Provider Information for 1154782332
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Mrs. MELANIE MULLINS MHC-P
Sex: Female
NPI: 1154782332
Last Updated: 2016-03-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1154782332 | ||||||||
| Enumeration Date | 2016-03-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4 FULLER ST ALEXANDRIA BAY, NY 13607-1316 United States Phone: 315-482-1205 | Fax: | ||||||||
| Primary Practice Address | 4 FULLER ST ALEXANDRIA BAY, NY 13607-1316 United States Phone: 315-482-1205 | Fax: | ||||||||
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