Individual
MELISSA WILSON-CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1 PHYSICIANS PARK, FRANKFORT, KY 40601-4192
(910) 584-0678
Mailing address
219 VICTORIA WAY, GEORGETOWN, KY 40324-9195
(910) 584-0678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253871
KY
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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