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1033783766
MARILLAC COUNSELING, LLC
FORT WAYNE, IN
NPI
1033783766
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Entity Type
Organization
Authorized Contact
KATHY MASSONNE
Owner
260-222-6367
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-05-17
Last Update Date
2021-05-18
Business Address
MARILLAC COUNSELING, LLC
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804-6800
Phone number: 260-222-6367
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Mailing Address
MARILLAC COUNSELING, LLC
5112 INDIANA AVE
FORT WAYNE, IN 46807-3026
Phone number: 260-222-6367
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