Individual
MELANIE MIZEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
662 MINT HILL LN, LEXINGTON, KY 40509-1918
(713) 822-4063
Mailing address
662 MINT HILL LN, LEXINGTON, KY 40509-1918
(713) 822-4063
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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