Individual
GINETTE ALEXA MELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1206 KAYLYN CT NW, KENNESAW, GA 30152-5498
(205) 492-7018
Mailing address
1206 KAYLYN CT NW, KENNESAW, GA 30152-5498
(205) 492-7018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW008482
GA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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