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NPI Code Detail

MEDICARE: MELISSA LYNN DEL ROSARIO LPC

MEDICARE: MELISSA LYNN DEL ROSARIO LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker178.006115IL

General Provider Information

NPI Number : 1285946798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LYNN DEL ROSARIO LPC
Provider Business Mailing Address
First Line : 620 S 76TH ST STE 120
Second Line :
City : MILWAUKEE
State : WI
Zip : 53214-1549
Country : US
Telephone Number : 414-453-1400
Fax Number :
Provider Business Practice Location Address
First Line : 620 S 76TH ST STE 120
Second Line :
City : MILWAUKEE
State : WI
Zip : 53214-1549
Country : US
Telephone Number : 414-453-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2010
Last Update Date : 07/13/2010

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Directions to “ MELISSA LYNN DEL ROSARIO LPC” Practice Location

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