Individual
MELISSA K BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60021 MONROE ST, SMITHVILLE, MS 38870-7779
(662) 651-4637
(662) 651-4636
Mailing address
PO BOX 305, SMITHVILLE, MS 38870-0305
(662) 651-4637
(662) 651-4636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8288
MS
Other
Enumeration date
01/11/2013
Last updated
10/31/2019
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