Individual
MELISSA BYERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3868 S MCDOUGAL ST, BLOOMINGTON, IN 47403-4677
(317) 500-0057
Mailing address
3868 S MCDOUGAL ST, BLOOMINGTON, IN 47403-4677
(317) 500-0057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006707A
IN
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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