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MISS SUSAN MELANCON

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1659832921

Individual Registrant:
MISS SUSAN  MELANCON 
Gender: F
Sole Proprietor

Location and contact information for practice:
108 N CORNER ST  DELCAMBRE, LA 70528 US
Tel: 225-287-5464  Fax: --

Contact information for business:
108 N CORNER ST  DELCAMBRE, LA 70528-2908 US
Tel: 225-287-5464  Fax: --

Registration Information:
NPI: 1659832921
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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