Individual
CAREN SUE MELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
608 PINE ST, FARMINGTON, MO 63640-3020
(573) 756-6744
Mailing address
1002 STONE CREEK RD, FARMINGTON, MO 63640-7695
(573) 756-6575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003010220
MO
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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