Individual
MELANIE MADISON DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7330
Mailing address
918 S RIDGE TRL, CLARKSVILLE, TN 37043-8275
(931) 362-4964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4107
TN
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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