| Melinda Somerville | |
|
7434 Forest Court Irmo SC 29063 | |
| (803) 407-0088 | |
| (803) 407-4457 |
| Full Name | Melinda Somerville |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7434 Forest Court, Irmo, South Carolina |
| Authorized Official Name and Position | Melinda Saunders Somerville (CLINICAL COUNSELOR/OWNER) |
| Authorized Official Contact | 8034070088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Somerville Po Box 1372 Irmo SC 29063 Ph: (803) 407-0088 | Melinda Somerville 7434 Forest Court Irmo SC 29063 Ph: (803) 407-0088 |
| NPI Number | 1174891394 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174891394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6494 (South Carolina) | Primary |
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