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1043959927
LACIA GORMAN
FORT WAYNE, IN
NPI
1043959927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
LACIA GORMAN
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-497-0328
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Mailing Address
LACIA GORMAN
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-497-0328
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