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Contact Information

BEVERLY J MELLUM, LSW
118 MAPLE AVE.
BELLEFONTAINE, OH43311
 Phone: 937-599-1975
 Fax: 937-599-2769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for BEVERLY J MELLUM · (Female)

NPI Number 1790105823
Status Active
Credentials LSW (Licensed Social Workers)
Entity Individual
Enumeration date 04/16/2014
Last updated 04/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # S.1302519
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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