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1033674601
LAURA WHITE
FORT WAYNE, IN
NPI
1033674601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007838A)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
LAURA WHITE LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
LAURA WHITE LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Copy
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