Individual
MS. MELANIE JILL MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
(812) 855-3605
Mailing address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
(812) 855-3605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004537A
IN
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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