Individual
MRS. MELISSA MARIE DOMAZET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC- SLP
Contact information
Practice address
1800 N WABASH RD, SUITE 202, MARION, IN 46952-1300
(765) 651-3227
Mailing address
1093 LAKEWOOD CT, SCHERERVILLE, IN 46375-1096
(219) 793-3318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004052A
IN
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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