Melanie Elaine Louis Consolino, LLMSW Valid NPI
Individual provider · Clinical Social Worker · Vicksburg, MI
- NPI
- 1669139986
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 6801101824 (MI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-11-22
- Last updated
- 2021-11-22
Practice location
10633 S 27th St
Vicksburg, MI 49097-9423
(269) 967-2761