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1306032875
MELONIA SUE RUSSELL
ELKHART, IN
NPI
1306032875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35001623A)
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
Mrs. MELONIA SUE RUSSELL LMFT
1400 W INDIANA AVE
ELKHART, IN 46516-2164
Phone number: 546-276-3775
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Mailing Address
Mrs. MELONIA SUE RUSSELL LMFT
PO BOX 462
BREMEN, IN 46506-0462
Phone number: 574-276-3775
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