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1174978159
MARK MELILLO
PRINCETON, NJ
NPI
1174978159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37LC00252200)
Enumeration Date
2016-04-27
Last Update Date
2017-01-13
Business Address
Mr. MARK MELILLO MS, LCADC, RYT-200
1 MONUMENT DRIVE
PRINCETON, NJ 08540-4014
Phone number: 609-924-8018
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Mailing Address
Mr. MARK MELILLO MS, LCADC, RYT-200
5 LINCOLN PL D
NORTH BRUNSWICK, NJ 08902-4014
Phone number: 732-331-7796
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