Provider Information for 1699557835
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MELODY SURAT LPCC
Sex: Female
NPI: 1699557835
Last Updated: 2023-10-20
Certification Date: 2023-10-20
Certification Date: 2023-10-20
Details
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NPI | 1699557835 | ||||||||
Enumeration Date | 2023-10-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 4603 N WILDFLOWERS WAY CASTLE ROCK, CO 80109-8674 United States Phone: 678-800-6378 | Fax: | ||||||||
Primary Practice Address | 4603 N WILDFLOWERS WAY CASTLE ROCK, CO 80109-8674 United States Phone: 678-800-6378 | Fax: | ||||||||
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