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Melonie Elizabeth Blair-Fabian, DCSW

Social Worker, Clinical in Carterville, IL. Individual provider (NPI-1).

NPI number1649536624
StatusActive
Last updated in NPPESApr 4, 2012

Details

NPI
1649536624
Entity type
Individual (NPI-1)
Name
Ms. Melonie Elizabeth Blair-Fabian
Credential
DCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 4, 2012
Last updated
Apr 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical361WYYes

Practice location

2369 Dr Springs Rd
Carterville, IL 62918-3115

Phone 307-413-4229

Mailing address

2369 Dr Springs Rd
Carterville, IL 62918-3115

Phone 307-413-4229

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Other Clinical Social Worker providers in Carterville, IL

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