Individual
MISS MELISSA BRYNN FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
4112 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 242-6944
(618) 242-6726
Mailing address
4112 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 242-6944
(618) 242-6726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.013638
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150.013638
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
05/15/2012
Last updated
05/15/2012
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