Provider Information for 1730578071
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MELISSA WALTERS LCSW
Sex: Female
NPI: 1730578071
Last Updated: 2015-08-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1730578071 | ||||||||
| Enumeration Date | 2015-01-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9940 ALVATON ROAD ALVATON, KY 42122 United States Phone: 270-202-7232 | Fax: | ||||||||
| Primary Practice Address | 9940 ALVATON RD ALVATON, KY 42122-9657 United States Phone: 270-746-6600 | Fax: | ||||||||
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