Individual
MELISSA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0008169
OH
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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