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1013738749
LISA MICHELLE FIRESTINE
FORT WAYNE, IN
NPI
1013738749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39002689A)
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
LISA MICHELLE FIRESTINE LMHC
6157 STONEY CREEK DR
FORT WAYNE, IN 46825-4409
Phone number: 260-570-4515
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Mailing Address
LISA MICHELLE FIRESTINE LMHC
3715 INDIANA AVE
FORT WAYNE, IN 46807-2213
Phone number: 260-849-2041
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