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1922478007
MICHELLE STORY
MISHAWAKA, IN
NPI
1922478007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35001874A)
Enumeration Date
2015-10-01
Last Update Date
2018-04-20
Business Address
MICHELLE STORY
509 W MCKINLEY AVE STE 3
MISHAWAKA, IN 46545-5564
Phone number: 574-248-4870
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Mailing Address
MICHELLE STORY
518 W RUSS AVE
MISHAWAKA, IN 46545-5558
Phone number: 574-274-9134
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