Jacquelyn M Mellis, LCSW

NPI #1154959336 in Wildwood, Missouri

Provider Information

NPI Number
1154959336
Entity Type
Individual
Name
Jacquelyn M Mellis, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 1, 2020
Last Updated
Apr 20, 2020

Practice Location

Address
2634 HWY 109
Address 2
SUITE E
ZIP Code
63040
Phone
(314) 384-6534

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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