| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MELISSA ANN WILLIAMSON | 1750979258 | 2021-01-10 |
| Entity Type | Individual |
| Provider Name | Mrs. Melissa Ann Williamson LMT |
| Practice Office Address | 18 GROVE ST ROCKLAND, ME US |
| Practice Office Telephone | 2073326132 |
| Mailing Address | 18 GROVE ST ROCKLAND, ME 048412907 US |
| Business Telephone | 2073326132 |
| Code | License No | State |
|---|---|---|
| 225700000X PRIMARY | MT3199 | ME |