Individual
MRS. SUSAN G MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
524 S HOUSTON LAKE RD STE G, WARNER ROBINS, GA 31088-9027
(478) 333-2498
(478) 333-6531
Mailing address
107 FRIAR TUCK AVE, WARNER ROBINS, GA 31088-5403
(478) 333-2498
(478) 333-6531
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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