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1124297270
MELISSA R MIGNOGNA
SHENANDOAH, TX
NPI
1124297270
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Former Name
MELISSA R JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 36831)
Enumeration Date
2008-02-22
Last Update Date
2015-06-15
Business Address
Prof. MELISSA R MIGNOGNA Ph.D.
111 VISION PARK BLVD SUITE 250
SHENANDOAH, TX 77384-3002
Phone number: 281-528-4226
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Mailing Address
Prof. MELISSA R MIGNOGNA Ph.D.
6541 CASCADE DR
WACO, TX 76712-4302
Phone number: 405-612-8574
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