MELODY MICKENS

RICHMOND, VA
NPI1942759626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: VA  0810005496)
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
MELODY MICKENS
1201 BROAD ROCK BOULEVARD 2B-271
RICHMOND, VA 23294-4915
Phone number: 804-675-5000
Mailing Address
MELODY MICKENS
1201 BROAD ROCK BLVD
RICHMOND, VA 23103
Phone number: 804-337-2146
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