Individual
MELISSA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
2733 S RIDGE RD, GREEN BAY, WI 54304-5545
(920) 497-6200
(920) 497-3135
Mailing address
2240 CARSTENSEN LN APT A, GREEN BAY, WI 54304-4262
(715) 902-9965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000000
—
WI
Enumeration date
06/01/2022
Last updated
06/01/2022
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