| NPI | 1922406842 |
|---|---|
| Professional Name | MELLISSA ALYSHA FORDE-JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C010681) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2023-03-08 |