Individual
MELANIE KAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
(502) 635-4537
(502) 636-0597
Mailing address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
(502) 635-4537
(502) 636-0597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
KY
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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