Individual
MELANIE NICOLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
(314) 206-3900
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018029415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018029415
MSW, LMSW
MO
Enumeration date
08/08/2018
Last updated
08/08/2018
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