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Melissa Revelez

Social Worker, Clinical in Davis, CA. Individual provider (NPI-1).

NPI number1164077608
StatusActive
Last updated in NPPESAug 1, 2019

Details

NPI
1164077608
Entity type
Individual (NPI-1)
Name
Melissa Revelez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2019
Last updated
Aug 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

105 E St Ste 2e
Davis, CA 95616-4572

Phone 530-601-1003

Mailing address

9113 Sutton Way
Orangevale, CA 95662-5241

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