Individual
MISS MELISSA ANN SLUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3901 ADDISON ST, SOUTH BEND, IN 46614-2603
(231) 920-6471
Mailing address
3901 ADDISON ST, SOUTH BEND, IN 46614-2603
(231) 920-6471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801067758
MI
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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