Individual
SARAH ANITA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6809 122ND AVE, KENOSHA, WI 53142-7335
(262) 891-6575
(262) 654-5467
Mailing address
6809 122ND AVE, KENOSHA, WI 53142-7335
(262) 891-6575
(262) 654-5467
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW135712
PA
1041C0700X
Clinical Social Worker
11845-124
WI
1041C0700X
Clinical Social Worker
Primary
149.025054
IL
1041C0700X
Clinical Social Worker
34511
MN
1041C0700X
Clinical Social Worker
44SC06064400
NJ
Other
Enumeration date
05/23/2018
Last updated
11/07/2025
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