Individual
MELINDA HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4719
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
394137
IL
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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