Individual
MELISSA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2 CHATEAU GROVE LN, BARBOURSVILLE, WV 25504-1626
(304) 736-9662
(304) 733-0079
Mailing address
97 GREAT TEAYS BLVD, STE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00944866
WV
1041C0700X
Clinical Social Worker
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851741375
—
WV
Enumeration date
06/15/2016
Last updated
09/22/2020
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