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Individual

MRS. MELINDA M WINNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SOCIAL WORKER

Contact information

Practice address
409 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0929
(765) 584-0551
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
200099250A
IN
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200099250
IN
Enumeration date
08/09/2005
Last updated
06/14/2011
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