Individual provider · NPI-1
Melonie K Bland
Counselor, Professional · Milford, CT
NPI number1316436207
StatusActive
Last updated in NPPESMay 7, 2018
Details
- NPI
- 1316436207
- Entity type
- Individual (NPI-1)
- Name
- Melonie K Bland
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2018
- Last updated
- May 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
25 Robert StMilford, CT 06461-4052
Phone 203-218-8883
Mailing address
25 Robert StMilford, CT 06461-4052
Phone 203-218-8883
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