Individual
MELINDA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1006 HONEYSUCKLE LN, RUSSELLVILLE, KY 42276-1037
(270) 571-0049
Mailing address
1006 HONEYSUCKLE LN, RUSSELLVILLE, KY 42276-1037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1644
KY
Other
Enumeration date
08/03/2006
Last updated
03/15/2013
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