Individual
MELISSA ANN ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(859) 629-1339
Mailing address
998 BROOKS INDUSTRIAL RD, SUITE A, SHELBYVILLE, KY 40065-8154
(859) 633-1315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4068
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100424390
—
KY
Enumeration date
09/29/2010
Last updated
02/11/2017
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