Individual
MELISSA BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N85W17062 ANN AVE, MENOMONEE FALLS, WI 53051-2708
(414) 218-9807
Mailing address
N85W17062 ANN AVE, MENOMONEE FALLS, WI 53051-2708
(414) 218-9807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130553-121
WI
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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