Most Relevant Information
Provider Data
| NPI Number: | 1003376617 |
| Provider Name: | MELISSA KOFF |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 130708 |
Most Important Dates
| Enumeration Date: | 03/20/2019 |
| Last Updated: | 03/20/2019 |
Provider Practice Location
3900 W BROWN DEER RD STE 200
BROWN DEER
WI
532091220
Practice Location Phone/Fax
| Phone: | 4145402170 |
| Fax: |
Provider Mailing Location
3900 W BROWN DEER RD STE 200
BROWN DEER
WI
532091220
Provider Mailing Phone/Fax
| Phone: | 4145402170 |
| Fax: |