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Individual

MRS. MELANIE BEVERELY ROBERTS-FUSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
331 SIJAN AVE, WHITEMAN AIR FORCE BASE, MO 65305-1269
(660) 687-4341
(660) 687-5256
Mailing address
6290 BAILEY RD, EAU CLAIRE, MI 49111-9654
(575) 361-4844

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098656
MI

Other

Enumeration date
03/05/2007
Last updated
06/14/2019
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