MEGAN RUSS

FORT WAYNE, IN
NPI1821414020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22005870A)
Enumeration Date2014-03-12
Last Update Date2014-03-12
Business Address
-- MEGAN RUSS CCC, SLP
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
Mailing Address
-- MEGAN RUSS CCC, SLP
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
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