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Contact Information

MELANIE QUILLEN
1719 GRANDIN RD SW
ROANOKE, VA24015
 Phone: 540-915-6472
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MELANIE QUILLEN · (Female)

NPI # 1467972604
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0904009841
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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