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Contact Information

EMMA MELVIN
12 N 64TH ST
BELLEVILLE, IL62223
 Phone: 618-397-0900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for EMMA MELVIN · (Female)

NPI Number 1467798306
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2012
Last updated 12/21/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149.015577
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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