Individual
MELISSA KONIJETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 206-1416
Mailing address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 786-1445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99099579A
IN
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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