Individual
MRS. MELODY ELISE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
509 WHEAT AVE, BAINBRIDGE, GA 39819-4321
(229) 416-4421
Mailing address
509 WHEAT AVE, BAINBRIDGE, GA 39819-4321
(229) 416-4421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW004003
GA
1041C0700X
Clinical Social Worker
Primary
CSW007916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW007916
GA LICENSE
GA
Enumeration date
09/05/2006
Last updated
06/14/2022
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