Most Relevant Information
Provider Data
| NPI Number: | 1003483652 |
| Provider Name: | MELISSA ANN BENNETT |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | AP00942429 |
Most Important Dates
| Enumeration Date: | 06/10/2021 |
| Last Updated: | 06/10/2021 |
Provider Practice Location
3977 BECKLEY ROAD
PRINCETON
WV
24740
Practice Location Phone/Fax
| Phone: | 3044315499 |
| Fax: |
Provider Mailing Location
3977 BECKLEY ROAD
PRINCETON
WV
24740
Provider Mailing Phone/Fax
| Phone: | 3044315499 |
| Fax: |