Individual
MELANIE JEAN EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
51738 SAGECREST DR, GRANGER, IN 46530-6887
(574) 339-5959
Mailing address
3371 CLEVELAND ROAD EXT, SUITE 210, SOUTH BEND, IN 46628-9780
(574) 271-2558
(574) 273-1137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004984A
IN
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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