Individual
MELISSA M. GERALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 MOHAWK, BROWNSVILLE, KY 42210
(270) 901-5000
(270) 842-5268
Mailing address
PO BOX 866, MUNFORDVILLE, KY 42765-0866
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2052
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
07/27/2006
Last updated
07/09/2007
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