Individual
MELISSA HANEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 280-2080
Mailing address
13415 APPLE TREE LN, PROSPECT, KY 40059-9019
(502) 379-5580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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