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NPI Code Detail

MEDICARE: MS. ANGELA MARIE MELVILLE MS

MEDICARE:  MS. ANGELA MARIE MELVILLE  MS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1538254768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA MARIE MELVILLE MS
Provider Business Mailing Address
First Line : 622 E GRAND RIVER AVE
Second Line :
City : HOWELL
State : MI
Zip : 48843-2329
Country : US
Telephone Number : 517-548-0081
Fax Number : 517-548-0498
Provider Business Practice Location Address
First Line : 622 E GRAND RIVER AVE
Second Line :
City : HOWELL
State : MI
Zip : 48843-2329
Country : US
Telephone Number : 517-548-0081
Fax Number : 517-548-0498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 11/05/2013

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Directions to “ MS. ANGELA MARIE MELVILLE MS” Practice Location

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