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Individual

MELISSA CHILDERS-WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
212 VILLAGE CIR, SAN ANTONIO, TX 78232-2824
(210) 846-4536
Mailing address
212 VILLAGE CIR, SAN ANTONIO, TX 78232-2824

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015
TX
101Y00000X
Counselor

Other

Enumeration date
06/08/2020
Last updated
06/08/2020
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