Melissa A Mitsdarffer, LCSW

NPI #1891094496 in Du Quoin, Illinois

Provider Information

NPI Number: 1891094496
Entity Type: Individual
Name: Melissa A Mitsdarffer, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 22, 2011
Last Updated: Mar 22, 2011

Practice Location

Address: 1016 S MADISON ST
Address 2: SUITE A
City: Du Quoin
State: Illinois
ZIP Code: 62832-2442
Phone: (618) 542-4357

Specialties & Taxonomy Codes

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

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