MELINA MARIE SAMPLE

MISHAWAKA, IN
NPI1861049595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: IN  20043242A)
Enumeration Date2019-08-19
Last Update Date2019-08-19
Business Address
MELINA MARIE SAMPLE PHD, HSPP
210 S RACE ST
MISHAWAKA, IN 46544-2032
Phone number: 574-404-6755
Mailing Address
MELINA MARIE SAMPLE PHD, HSPP
2709 BLACKTAIL CT
SOUTH BEND, IN 46614-9168
Phone number: 574-274-8193
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