MELISSA CLARK

COLUMBUS, IN
NPI1801967195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005724A)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NC  C003571)
Enumeration Date2006-11-10
Last Update Date2016-03-30
Business Address
-- MELISSA CLARK 6002172
6141 BASSWOOD DR
COLUMBUS, IN 47201-8431
Phone number: 812-603-6827
Mailing Address
-- MELISSA CLARK 6002172
719 5TH ST
COLUMBUS, IN 47201-6306
Phone number: 812-372-1571