# MELISSA L QUERRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265050561
- **Authorized official:** MELISSA QUERRY LCSW (OWNER)
- **Authorized official phone:** (949) 371-1080

## Contact information

- **Practice address:** 2470 SAINT ROSE PKWY STE 302, HENDERSON, NV 89074-7776
- **Practice address phone:** (493) 711-0809
- **Practice address fax:** (702) 566-4575
- **Mailing address:** 2470 SAINT ROSE PKWY STE 302, HENDERSON, NV 89074-7776
- **Mailing address phone:** (493) 711-0809
- **Mailing address fax:** (702) 566-4575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020