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1093168718
MELINDA DAVIS
FORT WAYNE, IN
NPI
1093168718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004261A)
Enumeration Date
2016-07-18
Last Update Date
2022-10-20
Business Address
MELINDA DAVIS LCSW
1720 BEACON ST
FORT WAYNE, IN 46805-4749
Phone number: 260-373-7500
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Mailing Address
MELINDA DAVIS LCSW
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-6013
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