Individual
MELISSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 W BROADWAY ST STE A, BOLIVAR, MO 65613-1502
(417) 422-4927
Mailing address
2241 W SOUTH ST, BOLIVAR, MO 65613-3201
(417) 422-4927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/31/2009
Last updated
02/23/2026
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