Individual
MELISSA BLUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
8548 JADE RD., KINGDOM CITY, MO 65262
(636) 358-1317
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2011004910
MO
Other
Enumeration date
06/06/2011
Last updated
11/19/2024
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