Individual
MELISSA PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 NEWTON DR NE, COVINGTON, GA 30014-2678
(678) 712-6898
Mailing address
2544 HIGHWAY 212, COVINGTON, GA 30016-6071
(678) 712-6898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005294
GA
Other
Enumeration date
11/14/2014
Last updated
03/01/2016
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