Individual
MELODY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 FRAZIER ST, TERRELL, TX 75160-3426
(214) 549-3910
Mailing address
PO BOX 36, TERRELL, TX 75160-0001
(214) 549-3910
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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