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Individual
MELISSIA ELAINE BECKHAM
Active
Individual
MELISSIA ELAINE BECKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34547
TX
1041C0700X
Clinical Social Worker
Primary
34547
TX
251B00000X
Case Management Agency
34547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2140832-01
—
TX
Enumeration date
03/04/2009
Last updated
12/20/2017
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