Individual
MELANIE EHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3050 RIO DOSA DR, LEXINGTON, KY 40509-1540
(859) 268-6400
Mailing address
PO BOX 2994, GRAND RAPIDS, MI 49501-2994
(800) 968-6866
(616) 532-7230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3049
KY
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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