Individual
MEGAN KELLY MELLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1025 W SUNNYSIDE AVE, CHICAGO, IL 60640-5684
(773) 935-6126
Mailing address
1025 W SUNNYSIDE AVE, CHICAGO, IL 60640-5684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.101939
IL
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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