MICHAEL JACK MELLOTT

FLAGSTAFF, AZ
NPI1760546147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: AZ  3598)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
Dr. MICHAEL JACK MELLOTT Ed.D.
3509 S DYLAN ST
FLAGSTAFF, AZ 86001-9137
Phone number: 928-774-4658
Mailing Address
Dr. MICHAEL JACK MELLOTT Ed.D.
3509 S DYLAN ST
FLAGSTAFF, AZ 86001-9137
Phone number: 928-774-4658
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