Individual
MELISSA JACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5190 LITTLE WHITE OAK RD, GREENUP, KY 41144-7034
(606) 473-9039
Mailing address
5190 LITTLE WHITE OAK RD, GREENUP, KY 41144-7034
(606) 473-9039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPINP00222364
KY
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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