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1023481157
MARY MELTON
BASTROP, LA
NPI
1023481157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 8051)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- MARY MELTON LMSW
614 KAMMELL ST
BASTROP, LA 71220-2606
Phone number: 318-281-8851
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Mailing Address
-- MARY MELTON LMSW
614 KAMMELL ST
BASTROP, LA 71220-2606
Phone number: 318-281-8851
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