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NPI Code Detail

MEDICARE: MRS. MELINDA DEE RACHAL LCSW

MEDICARE: MRS. MELINDA DEE RACHAL LCSW
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
11041C0700XClinical Social Worker2675LA

General Provider Information

NPI Number : 1275639676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELINDA DEE RACHAL LCSW
Provider Business Mailing Address
First Line : 1403 METRO DR STE C1
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3446
Country : US
Telephone Number : 318-625-7467
Fax Number :
Provider Business Practice Location Address
First Line : 1403 METRO DR STE C1
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3446
Country : US
Telephone Number : 318-625-7467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/21/2020

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