MRS. MELYSSA FREDERICK
Social Worker - Clinical
Active
Individual
NPI: 1114131422
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 005968 (MO) |
Frequently Asked Questions
NPI 1114131422 is the National Provider Identifier for MRS. MELYSSA FREDERICK, a Social Worker - Clinical provider located in Ballwin, MO. This NPI was enumerated on May 9, 2007.
MRS. MELYSSA FREDERICK practices at 396 BENBOW CT, Ballwin, MO 63011.
Quick Facts
- NPI
- 1114131422
- Type
- Individual
- Enumerated
- May 9, 2007
- Last Updated
- Jul 8, 2007
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