LISA RENEE MELTON

HERRIN, IL
NPI1023054988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149007652)
Enumeration Date2006-06-21
Last Update Date2007-07-08
Business Address
Ms. LISA RENEE MELTON LCSW
412 S 14TH ST
HERRIN, IL 62948-3802
Phone number: 618-967-1790
Mailing Address
Ms. LISA RENEE MELTON LCSW
412 S 14TH ST
HERRIN, IL 62948-3802
Phone number: 618-967-1790
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