Provider Information for 1710608138
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MELODY DIONNE MCNISH LMHC
Sex: Female
NPI: 1710608138
Last Updated: 2022-09-05
Certification Date: 2022-09-05
Certification Date: 2022-09-05
Details
| Name | Value | ||||||||
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| NPI | 1710608138 | ||||||||
| Enumeration Date | 2022-09-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1058 E 85TH ST BROOKLYN, NY 11236-4230 United States Phone: 347-842-5880 | Fax: | ||||||||
| Primary Practice Address | 1058 E 85TH ST BROOKLYN, NY 11236-4230 United States Phone: 347-842-5880 | Fax: | ||||||||
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