Individual
MRS. DONNA LASHAWN MELLS-MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 BALCOM AVE, BLAKELY, GA 39823
(229) 308-5798
Mailing address
89 BALCOM AVE, BLAKELY, GA 39823
(229) 308-5798
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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