| Mellani Maritza Wallace, | |
|
613 Marquette Rd, Brandon, MS 39042-3038 | |
| (601) 591-5553 | |
| Not Available |
| Full Name | Mellani Maritza Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 613 Marquette Rd, Brandon, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033799499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mellani Maritza Wallace, 5749 Raymond Bolton Rd, Bolton, MS 39041-9253 Ph: (601) 968-7032 | Mellani Maritza Wallace, 613 Marquette Rd, Brandon, MS 39042-3038 Ph: (601) 591-5553 |
Sky D Davenport, Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-1692 | |
Tomeka Lafawn Bethea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-1692 | |
Belinda Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-1692 | |
William Cartier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 Glen Oaks Dr, Brandon, MS 39047 Phone: 601-850-3288 | |
Talisa M Cox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-1692 | |
Calandrea Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Avalon Ct Ste B, Brandon, MS 39047 Phone: 601-759-1104 |