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1578059887
STEFAN TYLER MELVIN
DURHAM, NC
NPI
1578059887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P012663)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
Mr. STEFAN TYLER MELVIN
1325 SOUTHPOINT CROSSING DR
DURHAM, NC 27713-6608
Phone number: 919-662-1820
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Mailing Address
Mr. STEFAN TYLER MELVIN
4000 WAKE FOREST RD STE 200
RALEIGH, NC 27609-6859
Phone number: 919-865-8856
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