Individual
MELISSA DAWN SWANN GERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
65 PROFESSIONAL PL STE 102103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
(304) 848-0890
Mailing address
65 PROFESSIONAL PL STE 102103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
(304) 848-0890
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00943108
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP00943108
WV STATE LICENSE
WV
Enumeration date
11/07/2019
Last updated
09/07/2022
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