Miss. Mellysa Wibowo
Miss. Mellysa Wibowo is a Social Worker in Orange, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
4000 W Metropolitan Dr # 120Orange, CA 92868-3504
Phone: (714) 972-3716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X (CA) |
|---|
Record details
| NPI number | 1508474016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2020 |
| Last updated in NPPES | October 1, 2020 |
| Certification date | October 1, 2020 |
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