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Individual

MRS. MELISSA LYNNE MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
116 N MAIN ST STE D, SOMERSET, KY 42501-1448
(606) 392-3958
Mailing address
319 JOHNNY DR, SCIENCE HILL, KY 42553-9146
(606) 392-3958

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100762910
KY
Enumeration date
08/22/2016
Last updated
03/22/2025
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