Individual
MS. MELISSA SUE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LCSWC
Contact information
Practice address
108 STATELY ST, WILEY FORD, WV 26767
(304) 582-2761
Mailing address
RR 3 BOX 3122, KEYSER, WV 26726-9413
(304) 788-2342
(304) 788-2409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00943458
WV
Other
Enumeration date
08/23/2017
Last updated
06/28/2023
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