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1992048896
MELISA BETH THAYER
FORT WAYNE, IN
NPI
1992048896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22004226a)
Enumeration Date
2013-03-29
Last Update Date
2013-03-29
Business Address
-- MELISA BETH THAYER slps
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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Mailing Address
-- MELISA BETH THAYER slps
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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