Provider Information for 1093475683
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MELANIE FOREMAN LPC
Sex: Female
NPI: 1093475683
Last Updated: 2024-03-15
Certification Date: 2024-03-15
Certification Date: 2024-03-15
Details
| Name | Value | ||||||||||||||||
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| NPI | 1093475683 | ||||||||||||||||
| Enumeration Date | 2021-12-22 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1510 CHEMIN AGREABLE RD YOUNGSVILLE, LA 70592-6202 United States Phone: 337-345-1305 | Fax:337-201-9315 | ||||||||||||||||
| Primary Practice Address | 221 RUE DE JEAN STE 126A LAFAYETTE, LA 70508-8501 United States Phone: 337-345-1305 | Fax:337-201-9315 | ||||||||||||||||
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