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1598136988
MELISSA LORAINE MELLETTE
COLUMBIA, SC
NPI
1598136988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-10-12
Last Update Date
2015-10-12
Business Address
MELISSA LORAINE MELLETTE
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
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Mailing Address
MELISSA LORAINE MELLETTE
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
Copy
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