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Individual
MELISSA T CARDER
Active
Individual
MELISSA T CARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
57962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57962
LICENSE
TX
Enumeration date
11/19/2018
Last updated
11/19/2018
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