MS. Ruth Mellenthin, LCSW

NPI #1104206655 in Mt Prospect, Illinois

Provider Information

NPI Number: 1104206655
Entity Type: Individual
Name: MS. Ruth Mellenthin, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 30, 2015
Last Updated: Jul 14, 2016

Practice Location

Address: 1803 W WILLOW LN
City: Mt Prospect
State: Illinois
ZIP Code: 60056-4412
Phone: (312) 810-2601

Specialties & Taxonomy Codes

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

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