Organization
MELISSA L QUERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA QUERRY LCSW (OWNER)
(949) 371-1080
Entity
Organization
Contact information
Practice address
2470 SAINT ROSE PKWY STE 302, HENDERSON, NV 89074-7776
(493) 711-0809
(702) 566-4575
Mailing address
2470 SAINT ROSE PKWY STE 302, HENDERSON, NV 89074-7776
(493) 711-0809
(702) 566-4575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346361391
—
NV
Enumeration date
07/13/2020
Last updated
07/13/2020
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