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Individual
MELISSA LYNN MCDAVID I
Active
Individual
MELISSA LYNN MCDAVID I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18192
TX
106H00000X
Marriage & Family Therapist
5127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323
SCHOOL BASED MEDICAID (SHARS)
TX
Enumeration date
06/02/2016
Last updated
05/18/2017
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