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1053424770
MELISSA L. BLACK
FARMINGTON, MO
NPI
1053424770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2005000353)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Mrs. MELISSA L. BLACK MSW/LCSW
118 WEST PINE PLAZA
FARMINGTON, MO 63640
Phone number: 573-701-0330
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Mailing Address
Mrs. MELISSA L. BLACK MSW/LCSW
118 WEST PINE PLAZA
FARMINGTON, MO 63640
Phone number: 573-701-0330
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