Individual
MICHELLE STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 W MCKINLEY AVE STE 3, MISHAWAKA, IN 46545-5564
(574) 248-4870
Mailing address
518 W RUSS AVE, MISHAWAKA, IN 46545-5558
(574) 274-9134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001874A
IN
Other
Enumeration date
10/01/2015
Last updated
04/20/2018
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