Individual
MS. DEBBIE J. MELLOAN-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.S.W.
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Mailing address
1317 S HENDERSON ST, BLOOMINGTON, IN 47401-5974
(812) 331-0830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33002212A
IN
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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