Individual
MISS MELISSA CAROL AIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
505 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 637-8737
Mailing address
4705 NORTH ST, NACOGDOCHES, TX 75965-1874
(936) 558-8859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
37562
TX
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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