Individual
MELISSA DARLENE BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
720 S GLENWOOD AVE STE 104, DALTON, GA 30721-3389
(706) 307-0043
Mailing address
720 S GLENWOOD AVE STE 103, DALTON, GA 30721-3388
(706) 307-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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