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Individual

MELISSA MAE G PUNZALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3804 LU LN, HAHIRA, GA 31632-3299
(919) 759-3690
Mailing address
3804 LU LN, HAHIRA, GA 31632-3299

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
171W00000X
Contractor
Primary

Other

Enumeration date
09/11/2020
Last updated
07/28/2022
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