Individual
MRS. MELISSA N HASELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
410 E 86TH AVE, MERRILLVILLE, IN 46410-6211
(219) 730-8144
Mailing address
410 E 86TH AVE, MERRILLVILLE, IN 46410-6211
(219) 730-8144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006717A
IN
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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