Most Relevant Information
Provider Data
| NPI Number: | 1003017658 |
| Provider Name: | MELINDA D BERRY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
8240 S SACRAMENTO AVE
CHICAGO
IL
606523416
Practice Location Phone/Fax
| Phone: | 3123167977 |
| Fax: |
Provider Mailing Location
8240 S SACRAMENTO AVE
CHICAGO
IL
606523416
Provider Mailing Phone/Fax
| Phone: | 3123167977 |
| Fax: |