Individual
MELYSSA NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE STE ID03G, FORT STEWART, GA 31314-5641
(912) 767-7301
Mailing address
1061 HARMON AVE STE ID03G, FORT STEWART, GA 31314-5641
(912) 767-7301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006637
VA
Other
Enumeration date
08/15/2012
Last updated
01/21/2015
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