Beverly Jean Mellum, LSW

NPI #1790105823 in Belle Fontaine, Ohio

Provider Information

NPI Number: 1790105823
Entity Type: Individual
Name: Beverly Jean Mellum, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Apr 16, 2014
Last Updated: Apr 16, 2014

Practice Location

Address: 118 MAPLE AVE.
City: Belle Fontaine
State: Ohio
ZIP Code: 43311
Phone: (937) 599-1975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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