Individual
DOROTHY LEE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3045 SCARLETT ST, BRUNSWICK, GA 31520-1251
(912) 554-8500
Mailing address
1125 EGMONT ST, BRUNSWICK, GA 31520-7331
(912) 279-0150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW004170
GA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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