Individual
MELINDA PADMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
Mailing address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05999700
NJ
1041C0700X
Clinical Social Worker
C014735
NC
Other
Enumeration date
09/04/2015
Last updated
04/05/2022
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