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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEVERLY JEAN MELLUM, LSW

Active

BEVERLY JEAN MELLUM, LSW is a Social Worker healthcare provider located in BELLE FONTAINE, Ohio. NPI 1790105823 is currently active in the NPPES registry. Verify at CMS.

Social Worker · BELLE FONTAINE, OH

Registration Details

NPI Number
1790105823
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2014 (12.147870426915 yrs)
Last Updated
Apr 16, 2014
License
S.1302519 (OH)

Practice Information

Address
118 MAPLE AVE.
BELLE FONTAINE, OH, 43311
Browse OH providers · Browse ZIP 43311
Phone
9375991975
Fax
9375992769
Primary Specialty
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.