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1477247450
DOUGLAS MELANCON
STATEN ISLAND, NY
NPI
1477247450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
Mr. DOUGLAS MELANCON
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2798
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Mailing Address
Mr. DOUGLAS MELANCON
23 WINTER AVE
STATEN ISLAND, NY 10301-2322
Phone number: 917-217-5649
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