Most Relevant Information
Provider Data
| NPI Number: | 1003248501 |
| Provider Name: | MELANIE GONSECKI COUPLAND LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW023380 |
Most Important Dates
| Enumeration Date: | 08/07/2013 |
| Last Updated: | 06/27/2024 |
Provider Practice Location
1051 CATALPA DR
MALVERN
PA
193552303
Practice Location Phone/Fax
| Phone: | 3025622107 |
| Fax: |
Provider Mailing Location
1051 CATALPA DR
MALVERN
PA
193552303
Provider Mailing Phone/Fax
| Phone: | 3025622107 |
| Fax: |