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Individual

MELISSA A NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CSW

Contact information

Practice address
1941 BISHOP LN STE 1019, LOUISVILLE, KY 40218-1928
(502) 457-8820
Mailing address
1941 BISHOP LN STE 1019, LOUISVILLE, KY 40218-1928
(502) 457-8820

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3121
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100235690
KY
01
K064012
MEDICARE
KY
Enumeration date
05/17/2007
Last updated
08/04/2022
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