| Name | MELENDEZ JAIME |
|---|---|
| Address | BRENTWOODNY |
| Profession | LICENSED MASTER SOCIAL WORK |
| License No | 023133 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron01/18/80) |
| Additional Qualification | |
| Status | INACTIVE |
| Registered through last day of |