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1033295944
CHARLES L MELLINGER
BEVERLY, MA
NPI
1033295944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 21135)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Mr. CHARLES L MELLINGER MSW, LICSW
23 BROADWAY
BEVERLY, MA 01915-4417
Phone number: 978-922-2280
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Mailing Address
Mr. CHARLES L MELLINGER MSW, LICSW
18 HATHAWAY AVE
BEVERLY, MA 01915-1416
Phone number: 978-922-2280
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