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General NPI Number Information
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NPI Number | 1700544673
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Entity Type | Organization
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Legal Business Name | MELISSA WEEKS, LLC
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 1913 ATLANTIC AVE STE 197
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City | MANASQUAN
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State | NJ
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Zip | 08736-1066
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Country | US
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Telephone | 732-359-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 2 JASON DR
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City | SPRING LAKE
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State | NJ
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Zip | 07762-2421
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Country | US
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Telephone | 732-503-6899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA WEEKS
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Credential | LCSW
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Telephone | 732-503-6899
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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 |
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License Number State |
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