Individual
MRS. MELANIE M MAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6112 WATERMAN BLVD, SAINT LOUIS, MO 63112-1106
(314) 862-4348
Mailing address
6112 WATERMAN BLVD, SAINT LOUIS, MO 63112-1106
(314) 862-4348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001029219
MO
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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