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NPI Code Detail

MEDICARE: MRS. MELISSA LYNNE DUBOISE M.A.

MEDICARE: MRS. MELISSA LYNNE DUBOISE M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2101YP2500XProfessional CounselorE.0700136-SUPVOH

General Provider Information

NPI Number : 1336367549
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA LYNNE DUBOISE M.A.
Provider Business Mailing Address
First Line : 227 BRADLEY ST
Second Line :
City : WEST LIBERTY
State : OH
Zip : 43357-9502
Country : US
Telephone Number : 937-465-4535
Fax Number : 937-599-3151
Provider Business Practice Location Address
First Line : 1600 S MAIN ST
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-1508
Country : US
Telephone Number : 937-599-2766
Fax Number : 937-599-3151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 02/03/2026

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