Individual
MRS. MELISSA ANN FORKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 N. WHITTAKER ST., SUITE 204, NEW BUFFALO, MI 49117
(269) 235-9821
(269) 586-2336
Mailing address
45 N. WHITTAKER ST., SUITE 204, NEW BUFFALO, MI 49117
(269) 235-9821
(269) 586-2336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003085
IL
Other
Enumeration date
10/06/2014
Last updated
06/14/2021
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