MS. Lisa Renee Melton, LCSW

NPI #1023054988 in Herrin, Illinois

Provider Information

NPI Number: 1023054988
Entity Type: Individual
Name: MS. Lisa Renee Melton, LCSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 412 S 14TH ST
City: Herrin
State: Illinois
ZIP Code: 62948-3802
Phone: (618) 967-1790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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