Individual
MELISSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 FAIRFAX AVE STE LLC, LOUISVILLE, KY 40207-4939
(502) 653-7211
(502) 416-0723
Mailing address
130 FAIRFAX AVE STE LLC, LOUISVILLE, KY 40207-4939
(502) 653-7211
(502) 416-0723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3515
KY
Other
Enumeration date
05/23/2007
Last updated
05/11/2026
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