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General NPI Number Information
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NPI Number | 1154560928
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Entity Type | Individual
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Provider Name | MELISSA RAYMELLE FLOYD-PICKARD PH.D., LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 518 N ELM ST SANCTUARY HOUSE INC
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City | GREENSBORO
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State | NC
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Zip | 27401-2018
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Country | US
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Telephone | 336-275-7596
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Fax | 336-346-1748
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Provider Business Mailing Address
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Address Line | PO BOX 21141
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City | GREENSBORO
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State | NC
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Zip | 27420-1141
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Country | US
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Telephone | 336-275-7596
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Fax | 336-346-1748
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C004414
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | NCC004414
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License Number State | NC
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