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1013447242
RUSSELL E. MYNHIER
FORT WAYNE, IN
NPI
1013447242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IN 35002070A)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-06-20
Last Update Date
2022-08-09
Business Address
RUSSELL E. MYNHIER MSEd, LMFT
6319 MUTUAL DR STE F
FORT WAYNE, IN 46825-4246
Phone number: 260-209-4473
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Mailing Address
RUSSELL E. MYNHIER MSEd, LMFT
6319 MUTUAL DR STE F
FORT WAYNE, IN 46825-4246
Phone number: 260-209-4473
Copy
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