JACQUELYN M MELLIS

WILDWOOD, MO
NPI1154959336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  001252)
Enumeration Date2020-04-01
Last Update Date2020-04-20
Business Address
JACQUELYN M MELLIS LCSW
2634 HWY 109 SUITE E
WILDWOOD, MO 63040
Phone number: 314-384-6534
Mailing Address
JACQUELYN M MELLIS LCSW
8534 SAGAMORE DR.
CEDAR HILL, MO 63016
Phone number: 636-288-9737