Individual
MELISSA E CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
3120 MEMORIAL DR, TWO RIVERS, WI 54241-3229
(920) 657-1780
Mailing address
1128 N 6TH ST, MANITOWOC, WI 54220-2842
(920) 585-4588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135538-121
WI
Other
Enumeration date
06/12/2025
Last updated
06/13/2025
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