MELLISA DAWN BLACK

FESTUS, MO
NPI1619673894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2023002795)
Enumeration Date2023-01-31
Last Update Date2023-01-31
Business Address
Mrs. MELLISA DAWN BLACK PMHNP-BC
1400 US HIGHWAY 61 STE 150
FESTUS, MO 63028-4141
Phone number: 636-543-2230
Mailing Address
Mrs. MELLISA DAWN BLACK PMHNP-BC
1400 US HIGHWAY 61 STE 150
FESTUS, MO 63028-4141
Phone number: 636-543-2230
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