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Individual
LINDA MELNICK
Active
Individual
LINDA MELNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12989
TX
1041C0700X
Clinical Social Worker
Primary
12989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090GB
BLUE CROSS BLUE SHEILD
TX
01
—
00S96N
BLUE CROSS BLUE SHEILD
TX
05
—
1083180-03
—
TX
05
—
108318001
—
TX
Enumeration date
02/16/2007
Last updated
11/12/2024
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