RAPHILLA D DIXIE

FORT WAYNE, IN
NPI1003465873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001756A)
Enumeration Date2019-09-05
Last Update Date2024-04-03
Business Address
RAPHILLA D DIXIE
3005 E STATE BLVD
FORT WAYNE, IN 46805-4736
Phone number: 260-267-9498
Mailing Address
RAPHILLA D DIXIE
3005 E STATE BLVD
FORT WAYNE, IN 46805-4736
Phone number: 260-267-9498
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