Randall R Melvin LCSW BCD

NPI 1669495974 - Social Worker - 1041C0700X

NPI Details
NPI 1669495974
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
465 CONGRESS ST
SUITE 700
PORTLAND ME, 04101-3528, US
Phone (207) 773-2828
Fax (207) 761-8150
Business Location
465 CONGRESS ST
SUITE 700
PORTLAND ME, 04101-3528, US
Phone (207) 773-2828
Fax (207) 761-8150
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number LC4787
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According to our database, Randall R Melvin LCSW BCD NPI is 1669495974, taxonomy code is 1041C0700X and license number is LC4787, license state is located at Maine. Randall R Melvin LCSW BCD physically located at 465 Congress St, Portland ME, 04101-3528. NPI Number Randall R Melvin LCSW BCD has the Individual type.

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1669495974 NPI number is provided on an as is basis without warranty of any kind. 1669495974 is maintained by the National Plan & Provider Enumeration System. The contents of Randall R Melvin LCSW BCD are for informational purposes only.