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NPI Code Detail

MEDICARE: MELISSA CHASE BARAJAS

MEDICARE: MELISSA CHASE BARAJAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social Worker
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1447648803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CHASE BARAJAS
Provider Business Mailing Address
First Line : 3028 HALTOM RD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3948
Country : US
Telephone Number : 817-614-8454
Fax Number :
Provider Business Practice Location Address
First Line : 5424 RUFE SNOW DR STE 304
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6686
Country : US
Telephone Number : 817-576-2447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2015
Last Update Date : 08/22/2021

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Directions to “ MELISSA CHASE BARAJAS ” Practice Location

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