Provider Information for 1245976471
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MELISSA BYERLEY LCSW
Sex: Female
NPI: 1245976471
Last Updated: 2022-05-10
Certification Date: 2022-05-02
Certification Date: 2022-05-02
Details
Name | Value | ||||||||||||||
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NPI | 1245976471 | ||||||||||||||
Enumeration Date | 2022-05-10 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | YES | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 3868 S MCDOUGAL ST BLOOMINGTON, IN 47403-4677 United States Phone: 317-500-0057 | Fax: | ||||||||||||||
Primary Practice Address | 3868 S MCDOUGAL ST BLOOMINGTON, IN 47403-4677 United States Phone: 317-500-0057 | Fax: | ||||||||||||||
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