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Individual
MS. MELINDA ALICE MARX
Active
Individual
MS. MELINDA ALICE MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006137
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633978
BCBS PROVIDER #
IL
Enumeration date
03/29/2006
Last updated
07/13/2021
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