Individual
MELISSA J LANDRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10300 BROOKRIDGE VILLAGE BLVD STE 202, LOUISVILLE, KY 40291-4474
(502) 314-2237
(844) 379-5157
Mailing address
823 ALLISON AVE, BARDSTOWN, KY 40004-1760
(502) 827-4699
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7483
KY
1041C0700X
Clinical Social Worker
Primary
253835
KY
Other
Enumeration date
03/29/2016
Last updated
01/26/2019
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