Individual
MELANIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 SHILOH CT, MACON, GA 31206-3787
(850) 294-0989
Mailing address
111 SHILOH CT, MACON, GA 31206-3787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007995
GA
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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