Melissa S Chancellor

NPI #1083984637 in Menasha, Wisconsin

Provider Information

NPI Number: 1083984637
Entity Type: Individual
Name: Melissa S Chancellor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 12, 2012
Last Updated: Feb 14, 2025

Practice Location

Address: 1095 MIDWAY RD
City: Menasha
State: Wisconsin
ZIP Code: 54952-1115
Phone: (920) 720-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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