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1083195903
MELISSA BLACK
DALEVILLE, IN
NPI
1083195903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
MELISSA BLACK
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334-9420
Phone number: 765-644-0500
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Mailing Address
MELISSA BLACK
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334-9420
Phone number: 765-644-0500
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