Individual
MELANIE NIESWIADOMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
8620 SKYVIEW TER, BENBROOK, TX 76116-7663
(817) 944-6478
Mailing address
8620 SKYVIEW TER, BENBROOK, TX 76116-7663
(817) 944-6478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
36023
TX
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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