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Individual

MRS. MELISSA ROSE SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
103 LANDMARK DRIVE STE 300, DEPARTMENT OF VETERAN'S AFFAIRS, BELLEVUE, KY 41073
(859) 392-3840
(859) 392-3841
Mailing address
103 LANDMARK DRIVE STE 300, DEPARTMENT OF VETERAN'S AFFAIRS, BELLEVUE, KY 41073
(859) 392-3840
(859) 392-3841

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-1959
KY
106H00000X
Marriage & Family Therapist
KY-03-0095
KY

Other

Enumeration date
02/21/2007
Last updated
07/23/2013
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