Individual
MELISSA RAYE BIRDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1605 JOE MORSE DR, COPPERAS COVE, TX 76522-4754
(254) 462-3217
Mailing address
1605 JOE MORSE DR, COPPERAS COVE, TX 76522-4754
(254) 462-3217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67485
TX
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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