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Individual
MELANIE HERICKS
Active
Individual
MELANIE HERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW, LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
115731
IA
104100000X
Social Worker
2394
SD
1041C0700X
Clinical Social Worker
Primary
6935
SD
Other
Enumeration date
10/16/2024
Last updated
10/09/2025
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