Individual
MELISSA A MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
64 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 363-6300
(608) 363-6392
Mailing address
1222 8TH ST, BELOIT, WI 53511-4315
(815) 543-2696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20702
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39677400
—
WI
Enumeration date
10/24/2006
Last updated
01/21/2011
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