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Melissa Nicole Hall, LSW

Social Worker in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1336737873
StatusActive
Last updated in NPPESJan 8, 2021

Details

NPI
1336737873
Entity type
Individual (NPI-1)
Name
Melissa Nicole Hall
Credential
LSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2021
Certification date
Jan 8, 2021
Last updated
Jan 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker33009989AINYes

Practice location

2013 S Anthony Blvd
Fort Wayne, IN 46803-3609

Phone 260-267-0715

Mailing address

14307 Ramona Ln
Fort Wayne, IN 46845-9646

Phone 720-383-0990

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