MELLISA DAWN BLACK

FESTUS, MO
NPI1619673894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MO  2023002795)
Enumeration Date2023-01-31
Last Update Date2025-04-24
Business Address
MRS. MELLISA DAWN BLACK PMHNP-BC
1420 US HIGHWAY 61
FESTUS, MO 63028-4108
Phone number: 636-543-2230
Mailing Address
MRS. MELLISA DAWN BLACK PMHNP-BC
1420 US HIGHWAY 61
FESTUS, MO 63028-4108
Phone number: 636-543-2230
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