Individual
MRS. MELISSA WARD AMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3150 CUSTER DR, SUITE 203, LEXINGTON, KY 40517-4010
(859) 271-7788
(859) 273-3306
Mailing address
3150 CUSTER DR, SUITE 203, LEXINGTON, KY 40517-4010
(859) 271-7788
(859) 273-3306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1669
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335566
MHN
KY
01
—
AMMEMELI
HUMANA
KY
Enumeration date
01/23/2007
Last updated
07/08/2007
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