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Individual

MELISSA NICOLE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
2013 S ANTHONY BLVD, FORT WAYNE, IN 46803-3609
(260) 267-0715
Mailing address
14307 RAMONA LN, FORT WAYNE, IN 46845-9646
(720) 383-0990

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009989A
IN

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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