Provider Information for 1265869796
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Mrs. MELISSA LYN GRAMIGNA
Other Names:Other Name:MELISSA LYN BRUNO LPCSex: Female
NPI: 1265869796
Last Updated: 2016-04-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1265869796 | ||||||||||||
| Enumeration Date | 2013-09-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 170 N ARMSTRONG RD VENUS, TX 76084-4852 United States Phone: 325-232-3021 | Fax: | ||||||||||||
| Primary Practice Address | 1380 RIVER BEND DALLAS, TX 76247 United States Phone: 214-743-1272 | Fax: | ||||||||||||
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