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Individual

MRS. ELIZABETH SQUYRES MELANCON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
120 W MARK ST, MARKSVILLE, LA 71351-2306
(225) 324-1516
Mailing address
301 N SEWELL PL, BUNKIE, LA 71322-1939
(225) 324-1516
(318) 346-9054

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9029
LA

Other

Enumeration date
02/07/2011
Last updated
02/07/2011
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